Basic Information
| Provider Information | |||||||||
| NPI: | 1982022448 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PERRY | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | ALEXANDER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1500 E MEDICAL CENTER DR SPC 5226 | ||||||||
| Address2: | F1432 UNIVERSITY HOSPITAL SOUTH | ||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481095226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7346475899 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1500 E MEDICAL CENTER DR, SPC 5226 | ||||||||
| Address2: | F4132 UNIVERSITY HOSPITAL SOUTH | ||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481095226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7346475899 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2014 | ||||||||
| LastUpdateDate: | 05/26/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/26/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD178262 | OR | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 59773 | AZ | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.