Individual
MICHAEL PHILIP DONAHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12990 MANCHESTER RD STE 201, DES PERES, MO 63131-1860
(314) 909-0633
(314) 909-0391
Mailing address
12990 MANCHESTER RD STE 201, DES PERES, MO 63131-1860
(314) 909-0633
(314) 909-0391
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
102870
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14740
BCBS
MO
05
—
1775072067
—
MO
05
—
203747001
—
MO
01
—
207630
HEALTHLINK
MO
Enumeration date
10/19/2005
Last updated
09/19/2023
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