Provider Demographics
NPI:1982022448
Name:PERRY, DONALD ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ALEXANDER
Last Name:PERRY
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1500 E MEDICAL CENTER DR SPC 5226
Mailing Address - Street 2:F1432 UNIVERSITY HOSPITAL SOUTH
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-5226
Mailing Address - Country:US
Mailing Address - Phone:734-647-5899
Mailing Address - Fax:
Practice Address - Street 1:1500 E MEDICAL CENTER DR, SPC 5226
Practice Address - Street 2:F4132 UNIVERSITY HOSPITAL SOUTH
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5226
Practice Address - Country:US
Practice Address - Phone:734-647-5899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD178262207R00000X
AZ59773207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine