Individual
MICHELLE L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202
(317) 944-7150
(317) 274-2940
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
10001430A
IN
363A00000X
Physician Assistant
10001430A
IN
363AM0700X
Medical Physician Assistant
Primary
10001430A
IN
Other
Enumeration date
08/16/2012
Last updated
05/31/2022
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