Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER DONALDSON, MD
ActiveSports Medicine (EM) · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1902830755
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (19.783982229574 yrs)
- Last Updated
- May 22, 2019
- Licenses
-
4301085729 (MI)4301085729 (MI)
Practice Information
- Address
-
26025 LAHSER RD2ND FLOORSOUTHFIELD, MI, 480332601Browse MI providers · Browse ZIP 48033
- Phone
- 2486631900
- Fax
- 2486631902
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Sports Medicine (EM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.