Individual
DR. JUSTIN MICHAEL DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3355 EAGLE PARK DR NE STE 103, GRAND RAPIDS, MI 49525-7004
(616) 942-7400
(616) 942-7405
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(484) 346-1692
(556) 186-6558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301101550
MI
Other
Enumeration date
06/28/2012
Last updated
12/23/2022
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