# DR. HORACE J DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1033126651
- **Gender:** Man
- **Credential:** D.O

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 5101007157 | MI | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 11/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 06617A | CALHOUN HEALTH PLAN | MI |
| 01 | — | 0851338774 | BCBS | MI |
| 05 | — | 1917979 | — | MI |
| 01 | — | 200000004050 | PHYSICIAN HEALTH PLAN | MI |