MEDICARE: DANILO DONA MD PC

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	044130	MI

General Provider Information

NPI Number	:	1306035993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANILO DONA MD PC

Provider Business Mailing Address
First Line	:	7505 GRAFTON RD
Second Line	:	SUITE 1
City	:	NEWPORT
State	:	MI
Zip	:	48166-8908
Country	:	US
Telephone Number	:	734-586-3543
Fax Number	:	734-586-3517

Provider Business Practice Location Address
First Line	:	7505 GRAFTON RD
Second Line	:	SUITE 1
City	:	NEWPORT
State	:	MI
Zip	:	48166-8908
Country	:	US
Telephone Number	:	734-586-3543
Fax Number	:	734-586-3517

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DANILO AGUSTIN DONA
Credential	:	M.D.
Telephone Number	:	734-586-3543

Provider Enumeration Date	:	10/18/2007
Last Update Date	:	07/07/2015

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