Individual
MATTHEW SCOTT DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP C, ANN ARBOR, MI 48109-5030
(734) 936-4566
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2010-00364
NC
2085R0202X
Diagnostic Radiology Physician
Primary
4301087330
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301087330
MI
Other
Enumeration date
03/30/2007
Last updated
03/25/2011
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