Individual
DR. WILLIE LEE DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NAVARRE PL STE 4410, SOUTH BEND, IN 46601-1171
(574) 647-1650
(574) 647-1655
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01053966A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195250
BCBS BMG MFM
IN
01
—
000000857598
BCBS BMG E BLAIR WARNER
IN
05
—
200318520
—
IN
Enumeration date
10/10/2005
Last updated
11/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us