Provider Demographics
NPI:1841222999
Name:GARVER, DONALD (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:GARVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19701 VERNIER RD
Mailing Address - Street 2:STE 150
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-1467
Mailing Address - Country:US
Mailing Address - Phone:313-881-4900
Mailing Address - Fax:313-881-4901
Practice Address - Street 1:19701 VERNIER RD
Practice Address - Street 2:STE 150
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225-1467
Practice Address - Country:US
Practice Address - Phone:313-881-4900
Practice Address - Fax:313-881-4901
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI033007207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N78760Medicare ID - Type Unspecified
MIA73571Medicare UPIN