Organization
MARK L. DAVIS, DO PC
Active
Organization
MARK L. DAVIS, DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L DAVIS DO (OWNER/PHYSICIAN)
(517) 371-3407
Entity
Organization
Contact information
Practice address
1515 LAKE LANSING RD, SUITE B1, LANSING, MI 48912-3753
(517) 371-3407
(517) 371-1366
Mailing address
1515 LAKE LANSING RD, SUITE B1, LANSING, MI 48912-3753
(517) 371-3407
(517) 371-1366
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101012747
MI
Other
Enumeration date
10/27/2014
Last updated
10/29/2014
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