Individual
MR. ERIC BRADLEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6581
Mailing address
3823 HEATHERWOOD DR W, TRAVERSE CITY, MI 49684-8562
(231) 929-9348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302023940
MI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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