Provider Demographics
NPI:1245229525
Name:MUIR, DONALD BRIAN (MD)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:BRIAN
Last Name:MUIR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:43421 GARFIELD RD
Mailing Address - Street 2:STE 1
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1133
Mailing Address - Country:US
Mailing Address - Phone:586-286-5500
Mailing Address - Fax:586-286-0900
Practice Address - Street 1:43421 GARFIELD RD
Practice Address - Street 2:STE 1
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-1133
Practice Address - Country:US
Practice Address - Phone:586-286-5500
Practice Address - Fax:586-286-0900
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2020-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIDM050196207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4362465Medicaid
A76820Medicare UPIN
MI4362465Medicaid