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NPI Code Detail

MEDICARE: IRENE DAVILA

MEDICARE: IRENE DAVILA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1548651169
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE DAVILA
Provider Business Mailing Address
First Line : 1213 S WASHINGTON AVE
Second Line :
City : SAGINAW
State : MI
Zip : 48601-2510
Country : US
Telephone Number : 616-301-8000
Fax Number :
Provider Business Practice Location Address
First Line : 1213 S WASHINGTON AVE
Second Line :
City : SAGINAW
State : MI
Zip : 48601-2510
Country : US
Telephone Number : 616-301-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2015
Last Update Date : 07/01/2025

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Directions to “ IRENE DAVILA ” Practice Location

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