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Individual

SAGE M DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
(313) 554-1095
(313) 899-3560
Mailing address
559 W GRAND BLVD, DETROIT, MI 48216-2200
(313) 554-0485
(313) 228-0283

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704292364
MI

Other

Enumeration date
10/22/2014
Last updated
03/23/2023
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