MEDICARE: JOHN L DAVIS JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301103346	MI

General Provider Information

NPI Number	:	1184062465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN L DAVIS JR. M.D.

Provider Business Mailing Address
First Line	:	4328 BUTEO DR
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-7239
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4328 BUTEO DR
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-7239
Country	:	US
Telephone Number	:	269-998-9297
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2013
Last Update Date	:	09/23/2022

Similar Medicare Providers

1659339992 — EMBERTON AND COMPANY HOME HEALTH, LLC
Practice Location Address:

2630 NW EXPRESSWAY STE B
OKLAHOMA CITY, OK
73112-7239

Practice Phone: 405-295-4300
Practice Fax: 405-295-4299

1912011602 — DARLA JO HANSON
Practice Location Address:

4101 E 42ND ST , MUSIC CITY MALL #95
ODESSA, TX
79762-7239

Practice Phone: 432-366-1158
Practice Fax: 432-366-1158

1699967257 — ALLISON JEAN PAGE APRN
Practice Location Address:

1670 BONANZA DR STE 203
PARK CITY, UT
84060-7239

Practice Phone: 355-132-7154
Practice Fax:

1689346298 — SNP MEDICAL HOLDINGS LLC
Practice Location Address:

6699 S 1300 E
SALT LAKE CITY, UT
84121-7239

Practice Phone: 612-244-8260
Practice Fax:

1720955081 — MUNSON HEALTHCARE CADILLAC
Practice Location Address:

1105 SIXTH ST STE D6
TRAVERSE CITY, MI
49684-2345

Practice Phone: 231-935-6380
Practice Fax: 231-935-6920

1588529101 — AMY LOUISE COLOMBO
Practice Location Address:

4230 COPPER RIDGE DR BLDG E
TRAVERSE CITY, MI
49684-7256

Practice Phone: 231-935-6880
Practice Fax:

Directions to “ JOHN L DAVIS JR. M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.