Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 5101014239 | MI |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 5101014239 | MI |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 5101014239 | MI |
NPI | 1427031962 |
---|---|
Provider Name | Dr. Michael Patrick Donahue |
First Address | Auburn Hills, MI 48326-2774 |
Second Address | Auburn Hills, MI 48326-2774 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 13/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G69207 | (02) |