Provider Demographics
NPI:1053618934
Name:MOLENAAR, DONALD MICHAEL (MD, MPH)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:MICHAEL
Last Name:MOLENAAR
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BAYER RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-9707
Mailing Address - Country:US
Mailing Address - Phone:412-777-2248
Mailing Address - Fax:412-777-4983
Practice Address - Street 1:100 BAYER RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9707
Practice Address - Country:US
Practice Address - Phone:412-777-2248
Practice Address - Fax:412-777-4983
Is Sole Proprietor?:No
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD069852L207R00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine