Individual
AUSTIN CHRISTOPHER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20901 MOROSS RD, DETROIT, MI 48236-2058
(313) 626-2600
(313) 626-2605
Mailing address
559 W GRAND BLVD, DETROIT, MI 48216-2200
(313) 554-0485
(313) 228-0283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101026838
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2019
Last updated
07/19/2022
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