Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 4301075529 | MI |
NPI | 1003898347 |
---|---|
Provider Name | Dr. Mehmet E Donat |
First Address | Troy, MI 48098-6365 |
Second Address | Troy, MI 48098-6365 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 17/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4257924-10 | (05) | MI |
G99697 | (02) |