Healthcare Provider Details

I. General information

NPI: 1811942097
Provider Name (Legal Business Name): DONALD LOUIS HILLMAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

839 S PUTNAM ST
WILLIAMSTON MI
48895-1623
US

IV. Provider business mailing address

3955 PATIENT CARE DR STE A
LANSING MI
48911
US

V. Phone/Fax

Practice location:
  • Phone: 517-655-3515
  • Fax: 855-476-0189
Mailing address:
  • Phone: 517-374-7600
  • Fax: 855-495-5457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDH007694
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: