Individual provider · NPI-1

Dr. Michael Durrell Davis, PhD

Pathology, Clinical Laboratory Director, Non-physician · Detroit, MI

NPI number1881857688
StatusActive
Last updated in NPPESJul 2, 2008

Details

NPI
1881857688
Entity type
Individual (NPI-1)
Name
Dr. Michael Durrell Davis
Credential
PhD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 2, 2008
Last updated
Jul 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247ZC0005X Pathology, Clinical Laboratory Director, Non-physician––Yes

Practice location

1151 Taylor Street
Herman Kiefer Health Complex 150-C
Detroit, MI 48202-1732

Phone 313-876-4222 · Fax 313-876-4221

Mailing address

1151 Taylor Street
Herman Kiefer Complex Room 150-C
Detroit, MI 48202-1732

Phone 313-876-4222 · Fax 313-876-4221

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