Michael A Donnelly, DO FACOS
Urology in Beloit, WI. Individual provider (NPI-1).
NPI number1831107671
StatusActive
Last updated in NPPESOct 19, 2011
Details
- NPI
- 1831107671
- Entity type
- Individual (NPI-1)
- Name
- Michael A Donnelly
- Credential
- DO FACOS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2006
- Last updated
- Oct 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 33488021 | WI | Yes |
| 208800000X | Urology | 036-075916 | IL |
Practice location
1905 E. Huebbe ParkwayBeloit Health System INC.
Beloit, WI 53511-1842
Phone 608-364-2200 · Fax 608-364-2705
Mailing address
1905 E. Huebbe ParkwayBeloit Health System INC.
Beloit, WI 53511-1842
Phone 608-364-2200 · Fax 608-364-2705
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