MEDICARE: DONALD ALFRED SHEILL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301047789	MI
2	2083X0100X	Occupational Medicine Physician	4301047789	MI

General Provider Information

NPI Number	:	1588680011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD ALFRED SHEILL M.D.

Provider Business Mailing Address
First Line	:	923 S BEECHTREE ST
Second Line	:	SUITE 9
City	:	GRAND HAVEN
State	:	MI
Zip	:	49417-2306
Country	:	US
Telephone Number	:	616-847-6233
Fax Number	:	616-847-6959

Provider Business Practice Location Address
First Line	:	923 S BEECHTREE ST
Second Line	:	SUITE 9
City	:	GRAND HAVEN
State	:	MI
Zip	:	49417-2306
Country	:	US
Telephone Number	:	616-847-6233
Fax Number	:	616-847-6959

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	09/11/2025

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