Individual
DONNA PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 640-2341
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 640-2341
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
43010061890
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43010061890
STATE LICENSE
MI
Enumeration date
05/24/2005
Last updated
11/20/2012
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