Individual
JEFFREY V DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1016 E CORK ST, KALAMAZOO, MI 49001-4823
(269) 349-2247
Mailing address
3061 CHRISTY WAY, SAGINAW, MI 48603-2267
(989) 791-2455
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CPED2005
MI
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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