Doctor Name: | MICHAEL JAMES MCDONNELL |
NPI Number: | 1033144639 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4201 |
Business Practice Address: | 4315 Diplomacy Dr Anchorage, AK - 995085926 |
Business Phone Number: | 9075632662 |
Business Fax Number: | |
Mailing Address: | 4315 Diplomacy Dr, ANCHORAGE |
State: | AK |
Postal Code: | 995085926 |
Phone Number: | 9075632662 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 09/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 4201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |