Individual
JOHN DAVID DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4660 S HAGADORN RD STE 520, EAST LANSING, MI 48823-6804
(517) 884-8701
Mailing address
4660 S HAGADORN RD STE 520, EAST LANSING, MI 48823-6804
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101029192
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/29/2026
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