Individual
DR. STACY L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6739 FULTON ST E, STE A-20, ADA, MI 49301-8138
(616) 676-2015
(616) 676-2011
Mailing address
6739 FULTON ST E, STE A-20, ADA, MI 49301-8138
(616) 676-2015
(616) 676-2011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003961
MI
Other
Enumeration date
10/04/2006
Last updated
11/29/2010
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