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Dr. Horace J Davis, DO
General Practice Physician in Center Line, Michigan
NPI 1033126651

Horace J Davis is a General Practice Physician based in Center Line, MI. Horace J Davis practices in Center Line, MI and has the professional credentials of DO. The NPI Number for Horace J Davis is 1033126651 and holds a License No. 5101007157 (Michigan).

The current practice location address for Horace J Davis is 25373 Van Dyke Ave, Center Line, MI and can be reached out via phone at 586-261-2500.

Location: 25373 Van Dyke Ave, Center Line, MI, 48015-1425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033126651
Provider Name
Horace J Davis
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
25373 Van Dyke Ave, Center Line, MI, 48015-1425
Phone Number
586-261-2500
Fax Number
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200000004050 01 MI PHYSICIAN HEALTH PLAN
1917979 05 MI
06617A 01 MI CALHOUN HEALTH PLAN
0851338774 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
25373 Van Dyke Ave
City
Center Line
State
Michigan
Zip
48015-1425
Phone Number
586-261-2500
Fax Number
person
Provider Business Mailing Address Details
Address
25373 Van Dyke Ave
City
Center Line
State
Michigan
Zip
48015-1425
Phone Number
586-261-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
5101007157 (Michigan)
Definition
Definition to come...
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