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NPI Code Detail

MEDICARE: DARCIE JEAN DOHNAL MD

MEDICARE: DARCIE JEAN DOHNAL MD
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
1207Q00000XFamily Medicine Physician4301095917MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487800959
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARCIE JEAN DOHNAL MD
Provider Business Mailing Address
First Line : 14734 PARK AVENUE BLDG A
Second Line : CHARLEVOIX PRIMARY CARE
City : CHARLEVOIX
State : MI
Zip : 49720-1927
Country : US
Telephone Number : 231-547-6554
Fax Number : 231-392-7332
Provider Business Practice Location Address
First Line : 14734 PARK AVENUE BLDG A
Second Line : CHARLEVOIX PRIMARY CARE
City : CHARLEVOIX
State : MI
Zip : 49720-1927
Country : US
Telephone Number : 231-547-6554
Fax Number : 231-392-7332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2008
Last Update Date : 04/12/2025

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