Individual
RYAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 SAINT ANTOINE ST, UHC 9C, DETROIT, MI 48201-2153
(313) 745-5147
Mailing address
1863 GRIFFITH AVE, BERKLEY, MI 48072-1281
(248) 882-2525
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101021002
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/28/2014
Last updated
12/10/2024
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