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Matthew Scott Davenport, MD
Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan
NPI 1225158702

Matthew Scott Davenport is a Student in an Organized Health Care Education/Training Program based in Ann Arbor, MI. Matthew Scott Davenport practices in Ann Arbor, MI and has the professional credentials of MD. The NPI Number for Matthew Scott Davenport is 1225158702 and holds a License No. 2010-00364 (Michigan).

The current practice location address for Matthew Scott Davenport is 1500 E Medical Center Dr, Ann Arbor, MI and can be reached out via phone at 734-936-4566. You can also correspond with Matthew Scott Davenport through the mailing address at 3621 S STATE ST, ANN ARBOR, MI - 48108 (mailing address contact number: 734-936-2047).

Location: 1500 E Medical Center Dr, Ann Arbor, MI, 48108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225158702
Provider Name
Matthew Scott Davenport
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 E Medical Center Dr, Ann Arbor, MI, 48108
Phone Number
734-936-4566
Fax Number
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 E Medical Center Dr
City
Ann Arbor
State
Michigan
Zip
48109-5030
Phone Number
734-936-4566
Fax Number
person
Provider Business Mailing Address Details
Address
1500 E Medical Center Dr
City
Ann Arbor
State
Michigan
Zip
48109-5030
Phone Number
734-936-4566
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301087330 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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.
2010-00364 (North Carolina)
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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