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Individual

MICHAEL PATRICK DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4000
Mailing address
130 ALLENS CREEK RD, ROCHESTER, NY 14618-3305
(585) 410-6545

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.069792
IL
207L00000X
Anesthesiology Physician
Primary
310510
NY
390200000X
Student in an Organized Health Care Education/Training Program
MT219807
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/14/2016
Last updated
03/04/2025
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