Individual
ANNE E DAVIDHIZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
721 6TH AVE, THREE RIVERS, MI 49093-8302
(269) 273-1418
(269) 273-3347
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704259063
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124305529
—
MI
Enumeration date
11/14/2011
Last updated
04/24/2023
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