Individual
LOUIS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5360
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704270741
MI
363LF0000X
Family Nurse Practitioner
4704270741
MI
Other
Enumeration date
11/22/2016
Last updated
05/02/2023
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