Individual
SCOTT B DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-7514
(231) 392-0039
Mailing address
601 JOHN ST, SUITE M452, KALAMAZOO, MI 49007-5341
(269) 341-6022
(269) 341-8244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301056087
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4575043
—
MI
01
—
CA2184
RAILROAD MEDICARE
MI
Enumeration date
01/19/2006
Last updated
09/27/2024
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