Provider Demographics
NPI:1003872979
Name:BILLS, DONALD F (DO)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:F
Last Name:BILLS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1371 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-7401
Mailing Address - Country:US
Mailing Address - Phone:989-732-4118
Mailing Address - Fax:989-732-7137
Practice Address - Street 1:1371 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-7401
Practice Address - Country:US
Practice Address - Phone:989-732-4118
Practice Address - Fax:989-732-7137
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101005666207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F00556Medicare UPIN
0N76010Medicare ID - Type Unspecified