Individual
RYAN THOMAS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-2673
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351049209
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2020
Last updated
05/03/2022
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