Mark Collins Davis OD

NPI 1427108430 - Optometrist - 152W00000X

NPI Details
NPI 1427108430
Gender Male
Enumeration Date 01/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2820 E BELTLINE LN NE
GRAND RAPIDS MI, 49525-9432, US
Phone (616) 363-5413
Fax (616) 363-4211
Business Location
2820 E BELTLINE LN NE
GRAND RAPIDS MI, 49525-9432, US
Phone (616) 363-5413
Fax (616) 363-4211
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901002801
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According to our database, Dr. Mark Collins Davis OD NPI is 1427108430, taxonomy code is 152W00000X and license number is 4901002801, license state is located at Michigan. Mark Collins Davis OD physically located at 2820 E Beltline Ln Ne, Grand Rapids MI, 49525-9432. NPI Number Mark Collins Davis OD has the Individual type.

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1427108430 NPI number is provided on an as is basis without warranty of any kind. 1427108430 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Collins Davis OD are for informational purposes only.