Individual
DR. HORACE J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
25373 VAN DYKE AVE, CENTER LINE, MI 48015-1425
(586) 261-2500
Mailing address
25373 VAN DYKE AVE, CENTER LINE, MI 48015-1425
(586) 261-2500
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101007157
MI
Other
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
Enumeration date
08/03/2006
Last updated
11/24/2015
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