Individual
MATTHEW JOSEPH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
2007 WILDWOOD TRL, SALINE, MI 48176-1656
(734) 660-8069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704338103
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704338103
MI
Other
Enumeration date
09/16/2021
Last updated
03/27/2023
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