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NPI Code Detail

MEDICARE: PAUL F. DAVIS, M.D., P.L.C.

MEDICARE: PAUL F. DAVIS, M.D., P.L.C.
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
1207T00000XNeurological Surgery PhysicianPD073182MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598083362
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAUL F. DAVIS, M.D., P.L.C.
Provider Business Mailing Address
First Line : 1221 SIXTH ST
Second Line : SUITE 303
City : TRAVERSE CITY
State : MI
Zip : 49684-2701
Country : US
Telephone Number : 231-935-5961
Fax Number : 231-935-5962
Provider Business Practice Location Address
First Line : 1221 SIXTH ST
Second Line : SUITE 303
City : TRAVERSE CITY
State : MI
Zip : 49684-2701
Country : US
Telephone Number : 231-935-5961
Fax Number : 231-935-5962
Authorized Official
Title or Position : OWNER
Name : DR. PAUL FRANCES DAVIS
Credential : M.D.
Telephone Number : 231-935-5961
Provider Enumeration Date : 05/04/2010
Last Update Date : 05/04/2010

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Directions to “PAUL F. DAVIS, M.D., P.L.C. ” Practice Location

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