Individual
DR. DAMON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 HANNAH BLVD, SUITE 104, EAST LANSING, MI 48823-5384
(517) 363-8118
(517) 364-8119
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0066799
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437275641
—
MI
Enumeration date
03/21/2007
Last updated
07/12/2016
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