Individual
HEIDI LYNN SUN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101025031
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/12/2006
Last updated
05/16/2025
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