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Stephanie Anne Davenport, PAC
Physician Assistant in Troy, Michigan
NPI 1003862186

Stephanie Anne Davenport is a Physician Assistant based in Southfield, MI. Stephanie Anne Davenport practices in Troy, MI and has the professional credentials of PAC. The NPI Number for Stephanie Anne Davenport is 1003862186 and holds a License No. (Michigan).

The current practice location address for Stephanie Anne Davenport is 44201 Dequindre Rd, Troy, MI and can be reached out via phone at 248-964-4866 and via fax at 248-964-4848. You can also correspond with Stephanie Anne Davenport through the mailing address at 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI - 48033-3849 (mailing address contact number: 947-522-1865).

Location: 44201 Dequindre Rd, Troy, MI, 48033-3849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003862186
Provider Name
Stephanie Anne Davenport
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
44201 Dequindre Rd, Troy, MI, 48033-3849
Phone Number
248-964-4866
Fax Number
248-964-4848
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1054094 01 MI NCCPA CERTIFICATE NUMBER
0E00425 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
44201 Dequindre Rd
City
Troy
State
Michigan
Zip
48085-1117
Phone Number
248-964-4866
Fax Number
248-964-4848
person
Provider Business Mailing Address Details
Address
44201 Dequindre Rd
City
Troy
State
Michigan
Zip
48085-1117
Phone Number
248-964-4866
Fax Number
248-964-4848
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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