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Organization
HORACE J DAVIS DO PC
Active
Organization
HORACE J DAVIS DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HORACE J DAVIS DO (PRESIDENT)
(517) 629-3963
Entity
Organization
Contact information
Practice address
1201 E BROADWELL ST, ALBION, MI 49224-1474
(517) 629-3963
(517) 629-2198
Mailing address
1201 E BROADWELL ST, ALBION, MI 49224-1474
(517) 629-3963
(517) 629-2198
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101007157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0851338774
BLUE CARE NETWORK
—
01
—
100019
GREAT LAKES HEALTH PLAN
—
01
—
1005484
CALHOUN HEALTH PLAN
—
05
—
1917979
—
MI
Enumeration date
02/07/2008
Last updated
02/07/2008
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