Individual
NORMAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
840 COOK RD, HASTINGS, MI 49058-9616
(269) 945-9520
(269) 945-9580
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601007099
MI
Other
Enumeration date
09/03/2014
Last updated
02/19/2021
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