Organization
HOME MEDICAL CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CARL DAVIS M.D. (OWNER)
(586) 431-0222
Entity
Organization
Contact information
Practice address
2972 ORCHARD PL, ORCHARD LAKE, MI 48324-2360
(586) 431-0222
(248) 682-2783
Mailing address
PO BOX 251625, WEST BLOOMFIELD, MI 48325-1625
(586) 431-0222
(248) 682-2783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301049534
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD049534
BCBSM LICENSE NUMBER
MI
Enumeration date
01/11/2007
Last updated
01/24/2008
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