Individual
AARON MICHAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
1305 N TILLOTSON AVE, MUNCIE, IN 47304-2948
(317) 286-6607
Mailing address
4946 LEWISTON DR, INDIANAPOLIS, IN 46254-7101
(765) 729-3735
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86112844
IN
133V00000X
Registered Dietitian
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38016888410
—
IN
05
—
83-3238435
—
IN
Enumeration date
01/22/2019
Last updated
09/21/2020
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