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Individual

MICHAEL DAVIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Contact information

Practice address
9500 EUCLID AVE # E11, CLEVELAND, OH 44195-0001
(216) 444-4846
(216) 444-0515
Mailing address
14101 PARK DR, BROOKPARK, OH 44142-3946
(440) 781-4044

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.361118
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.025264
OH

Other

Enumeration date
07/28/2019
Last updated
07/28/2019
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