Individual
GARY LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 SCHAEFER RD, DEARBORN, MI 48123-3698
(313) 581-2600
(313) 581-0228
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4217
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301050358
MI
Other
Enumeration date
07/31/2006
Last updated
01/18/2017
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