Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Donovan Douglas

Individual provider Other Technician · NPI 1497299036

Donovan Douglas is an Other Technician in Southfield, Michigan. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

25111 Grodan Dr
Southfield, MI 48033-2529
Phone: (313) 510-5230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1497299036
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 16, 2016
Last updated in NPPESDecember 16, 2016
Mailing address25111 Grodan Dr, Southfield, MI 48033-2529

Other providers in Southfield