Individual
DR. MICHAEL WILLIAM DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
15859 RIDGELAND AVE, SUITE A, OAK FOREST, IL 60452-2777
(708) 535-2828
Mailing address
15859 RIDGELAND AVE, SUITE A, OAK FOREST, IL 60452-2777
(708) 535-2828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019018203
IL
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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