Healthcare Provider Details

I. General information

NPI: 1265243018
Provider Name (Legal Business Name): WILLIAM R DONAHUE MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2025
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 BYRON RD
HOWELL MI
48843-1069
US

IV. Provider business mailing address

10139 KRESS RD
PINCKNEY MI
48169-9373
US

V. Phone/Fax

Practice location:
  • Phone: 517-265-4508
  • Fax:
Mailing address:
  • Phone: 586-651-0550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: