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NPI Code Detail

MEDICARE: DR. MICHAEL DRINKHAUS DAVIS M.D.

MEDICARE:  DR. MICHAEL DRINKHAUS 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
1207Q00000XFamily Medicine PhysicianMD.15544RLA

General Provider Information

NPI Number : 1669442349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL DRINKHAUS DAVIS M.D.
Provider Business Mailing Address
First Line : 1264 WALNUT DR
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70611-6067
Country : US
Telephone Number : 337-855-8282
Fax Number :
Provider Business Practice Location Address
First Line : 1585 3RD ST
Second Line : BAYNE-JONES ARMY COMMUNITY HOSPITAL
City : FORT POLK
State : LA
Zip : 71459-5102
Country : US
Telephone Number : 337-531-3527
Fax Number : 337-531-3184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MICHAEL DRINKHAUS DAVIS M.D.” Practice Location

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