Individual
MATTHEW DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
(616) 252-4953
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
(616) 252-4953
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101028574
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2023
Last updated
09/03/2025
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