Individual
DR. MICHAEL JOSEPH DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6781 PARKER FARM DR, SUITE 300, WILMINGTON, NC 28405-3161
(910) 763-1555
(910) 762-4726
Mailing address
6781 PARKER FARM DR, SUITE 300, WILMINGTON, NC 28405-3161
(910) 763-1555
(910) 762-4726
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
018402
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28815
BCBS FEDERAL
NC
01
—
406071393
RR MEDICARE
NC
Enumeration date
03/28/2006
Last updated
06/10/2013
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