Individual
MICHAEL P DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 PORTLAND WAY S, GALION, OH 44833-2312
(419) 462-4600
(419) 462-4609
Mailing address
3433 AGLER RD, SUITE 2400, COLUMBUS, OH 43219-3387
(614) 428-5553
(614) 428-5515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35085013
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35085013
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2535868
—
OH
05
—
3810015439
—
WV
01
—
H378641
MEDICARE
OH
Enumeration date
11/17/2005
Last updated
11/18/2020
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