MEDICARE: DR. DAVID FRANCIS DONAHUE DDS

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	1223G0001X	General Practice Dentistry	2901012275	MI

General Provider Information

NPI Number	:	1396847661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID FRANCIS DONAHUE DDS

Provider Business Mailing Address
First Line	:	555 W WACKERLY ST
Second Line	:	SUITE 3600
City	:	MIDLAND
State	:	MI
Zip	:	48640
Country	:	US
Telephone Number	:	989-835-6422
Fax Number	:	989-839-8854

Provider Business Practice Location Address
First Line	:	555 W WACKERLY ST
Second Line	:	SUITE 3600
City	:	MIDLAND
State	:	MI
Zip	:	48640-4722
Country	:	US
Telephone Number	:	989-835-6422
Fax Number	:	989-839-8854

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

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	07/08/2007

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