Provider Demographics
NPI:1851616676
Name:ODRONIC, SHELLEY IRENE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:IRENE
Last Name:ODRONIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:SHELLEY
Other - Middle Name:IRENE
Other - Last Name:REDFERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:750 W HIGH ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801
Mailing Address - Country:US
Mailing Address - Phone:419-226-9224
Mailing Address - Fax:
Practice Address - Street 1:750 W HIGH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801
Practice Address - Country:US
Practice Address - Phone:419-226-9224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.122255207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology