Diana E Davidson MD

NPI 1013909878 - Family Medicine - 207Q00000X

NPI Details
NPI 1013909878
Gender Female
Enumeration Date 08/18/2005
Last Updated 12/15/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1845 HOLTON RD
N MUSKEGON MI, 49445-1531, US
Phone (231) 291-8399
Fax (231) 291-8397
Business Location
100 MICHIGAN STREET NE MC 845
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax (231) 727-4451
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301077504
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According to our database, Diana E Davidson MD NPI is 1013909878, taxonomy code is 207Q00000X and license number is 4301077504, license state is located at Michigan. Diana E Davidson MD physically located at 1845 Holton Rd, N Muskegon MI, 49445-1531. NPI Number Diana E Davidson MD has the Individual type.

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1013909878 NPI number is provided on an as is basis without warranty of any kind. 1013909878 is maintained by the National Plan & Provider Enumeration System. The contents of Diana E Davidson MD are for informational purposes only.