Individual
DATRON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 S MADISON ST, ADRIAN, MI 49221-2518
(517) 265-5161
Mailing address
17236 LINCOLN DR, SOUTHFIELD, MI 48076-7226
(248) 259-3179
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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