Individual
MARK P DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W FRONT ST, TRAVERSE CITY, MI 49684-8151
(231) 946-1120
(231) 946-8943
Mailing address
3601 W FRONT ST, TRAVERSE CITY, MI 49684-8151
(231) 946-1120
(231) 946-8943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301044971
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080B86010
BCBSM
MI
05
—
1477525632
—
MI
Enumeration date
02/02/2006
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us