person
William J Davenport, PA
Medical Physician Assistant in Muskegon, Michigan
NPI 1851323778

William J Davenport is a Medical Physician Assistant based in Muskegon, MI and is specialized in Medical. William J Davenport practices in Muskegon, MI and has the professional credentials of PA. The NPI Number for William J Davenport is 1851323778 and holds a License No. 0110001951 (Michigan).

The current practice location address for William J Davenport is 1500 E Sherman Blvd, Muskegon, MI and can be reached out via phone at 231-672-3883 and via fax at 231-672-3973.

Location: 1500 E Sherman Blvd, Muskegon, MI, 49443-1847
person
Provider Profile Details
NPI Number
1851323778
Provider Name
William J Davenport
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1500 E Sherman Blvd, Muskegon, MI, 49443-1847
Phone Number
231-672-3883
Fax Number
231-672-3973
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0N27530065 01 MI MEDICARE
institution
Provider Business Practice Location Address Details
Address
1500 E Sherman Blvd
City
State
Zip
49444-1849
Phone Number
231-672-3883
Fax Number
231-672-3973
person
Provider Business Mailing Address Details
Address
1500 E Sherman Blvd
City
State
Zip
49444-1849
Phone Number
231-672-3883
Fax Number
231-672-3973
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110001951 (Virginia)
Definition
Definition to come...
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