Individual
DR. DAVID J EVERINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 3RD ST STE 200, BELLEVILLE, MI 48111-2605
(734) 697-9065
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DE008308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1564565
—
MI
01
—
5820200
BCBS
MI
Enumeration date
08/10/2005
Last updated
04/19/2023
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