Individual
JEREMY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
934 N MAPLE AVE, ROYAL OAK, MI 48067-4801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101022358
MI
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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