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NPI Code Detail

MEDICARE: DR. DAVID K DAVIS M.D.

MEDICARE: DR. DAVID K DAVIS 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
1208100000XPhysical Medicine & Rehabilitation Physician4301054784MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
30E06114007OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C6794OTHERMIM-CARE
2DD054784OTHERMIBCBSM
4101538OTHERMICARE CHOICES-PREFERRED
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
62505079501OTHERMIBCN

General Provider Information

NPI Number : 1285638080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID K DAVIS M.D.
Provider Business Mailing Address
First Line : 43555 DALCOMA DR
Second Line : STE 4
City : CLINTON TOWNSHIP
State : MI
Zip : 48038-6310
Country : US
Telephone Number : 586-228-2882
Fax Number : 586-463-7152
Provider Business Practice Location Address
First Line : 43555 DALCOMA DR
Second Line : STE 4
City : CLINTON TOWNSHIP
State : MI
Zip : 48038-6310
Country : US
Telephone Number : 586-228-2882
Fax Number : 586-463-7152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 11/20/2009

Similar Medicare Providers

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Practice Location Address:
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1578566832 — DR. JAGMOHAN SHARMA M.D.
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1134127459 — DR. GEOFFREY K SEIDEL MD
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43555 DALCOMA DR , SUITE 4
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Practice Fax: 586-463-7152
1578558318 — DR. GAIL DIANE SOOHOO-WILLIAMS MD
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Practice Location Address:
43555 DALCOMA DR , SUITE 4
CLINTON TOWNSHIP, MI
48038-6310
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Practice Fax: 586-463-7152
1053335067 — DR. ISAAC TURNER M.D.
Practice Location Address:
43555 DALCOMA DR , SUITE 4
CLINTON TOWNSHIP, MI
48038-6310
Practice Phone: 586-228-2882
Practice Fax: 586-463-7152

Directions to “ DR. DAVID K DAVIS M.D.” Practice Location

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