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McKenzie E Davidson, CCP

Perfusionist in Livonia, MI. Individual provider (NPI-1).

NPI number1003209537
StatusActive
Last updated in NPPESMar 9, 2015

Details

NPI
1003209537
Entity type
Individual (NPI-1)
Name
McKenzie E Davidson
Credential
CCP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 9, 2015
Last updated
Mar 9, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
242T00000X Perfusionist––Yes

Practice location

31330 Schoolcraft Rd
Ste 200
Livonia, MI 48150-2041

Phone 734-525-9712

Mailing address

31330 Schoolcraft Rd
Ste 200
Livonia, MI 48150-2041

Phone 734-525-9712

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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