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Organization

FRANCIS STREET MEDICAL ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HORACE J DAVIS DO (OWNER)
(517) 784-8546
Entity
Organization

Contact information

Practice address
143 WEST PROSPECT ST, JACKSON, MI 49203
(517) 784-8546
(517) 784-8538
Mailing address
143 WEST PROSPECT ST, JACKSON, MI 49203
(517) 784-8546
(517) 784-8538

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HD007157
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0721
HEALTH PLAN OF MICHIGAN
01
080C812780
BCBS
MI
01
10020
GREAT LAKES HEALTH PLAN
01
120129
PHP
05
1300262
MI
01
5133877
BLUE CARE NETWORK
Enumeration date
12/28/2006
Last updated
06/30/2008
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