Provider Demographics
NPI:1588680011
Name:SHEILL, DONALD ALFRED (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:ALFRED
Last Name:SHEILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:923 S BEECHTREE ST
Mailing Address - Street 2:SUITE 9
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-2306
Mailing Address - Country:US
Mailing Address - Phone:616-847-6233
Mailing Address - Fax:616-847-6959
Practice Address - Street 1:923 S BEECHTREE ST
Practice Address - Street 2:SUITE 9
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-2306
Practice Address - Country:US
Practice Address - Phone:616-847-6233
Practice Address - Fax:616-847-6959
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301047789207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine