Individual
DR. MARC DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16440 GRATIOT RD, HEMLOCK, MI 48626-8655
(989) 583-0660
(989) 583-0669
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-0660
(989) 583-0669
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301073514
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0804400401
BLUE CROSS BLUE SHIELD
MI
01
—
080D410020
BLUE CHOICE
MI
01
—
0984691
HEALTH PLUS
MI
01
—
204068
HEALTH ADVANTAGE NETWORK
MI
05
—
3527328
—
MI
01
—
5981692
AETNA
MI
01
—
C7488
MCARE
MI
01
—
F85987
HEALTH NET FEDERAL SERVIC
MI
Enumeration date
11/14/2005
Last updated
08/18/2014
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