Individual
JOHN L DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4328 BUTEO DR, TRAVERSE CITY, MI 49684-7239
(269) 998-9297
Mailing address
4328 BUTEO DR, TRAVERSE CITY, MI 49684-7239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301103346
MI
Other
Enumeration date
06/10/2013
Last updated
09/23/2022
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