Healthcare Provider Details

I. General information

NPI: 1588680011
Provider Name (Legal Business Name): DONALD ALFRED SHEILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 S BEECHTREE ST SUITE 9
GRAND HAVEN MI
49417-2306
US

IV. Provider business mailing address

923 S BEECHTREE ST SUITE 9
GRAND HAVEN MI
49417-2306
US

V. Phone/Fax

Practice location:
  • Phone: 616-847-6233
  • Fax: 616-847-6959
Mailing address:
  • Phone: 616-847-6233
  • Fax: 616-847-6959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301047789
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number4301047789
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: