Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | T-2549 | MS |
Y | 111NI0900X | Internist | T-2549 | MS |
NPI | 1003170218 |
---|---|
Provider Name | Dr. Michael Frederick Donze JR. |
First Address | Huntsville, AL 35801-3497 |
Second Address | Huntsville, AL 35801-3497 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2012 |
Last Update Date | 19/03/2016 |