Individual
TANNER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1675 LEAHY ST STE 315A, MUSKEGON, MI 49442-5543
(231) 727-5223
Mailing address
1675 LEAHY ST STE 315A, MUSKEGON, MI 49442-5543
(231) 727-5223
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101022722
MI
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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