Individual
DIANA E DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2009 HOLTON RD, N MUSKEGON, MI 49445-1578
(231) 291-8399
(231) 291-8397
Mailing address
100 MICHIGAN STREET NE MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301077504
MI
Other
Enumeration date
08/18/2005
Last updated
02/19/2021
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