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Jared Davis, DO
Student in an Organized Health Care Education/Training Program in Mount Clemens, Michigan
NPI 1114459476

Jared Davis is a Student in an Organized Health Care Education/Training Program based in Mount Clemens, MI. Jared Davis practices in Mount Clemens, MI and has the professional credentials of DO. The NPI Number for Jared Davis is 1114459476 and holds a License No. 5101027013 (Michigan).

The current practice location address for Jared Davis is 1000 Harrington St, Mount Clemens, MI and can be reached out via phone at 586-493-8000.

Location: 1000 Harrington St, Mount Clemens, MI, 48043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114459476
Provider Name
Jared Davis
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1000 Harrington St, Mount Clemens, MI, 48043
Phone Number
586-493-8000
Fax Number
Provider Enumeration Date
03/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 Harrington St
City
Mount Clemens
State
Michigan
Zip
48043
Phone Number
586-493-8000
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Harrington St
City
Mount Clemens
State
Michigan
Zip
48043
Phone Number
586-493-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
5101023055 (Michigan)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5101027013 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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