Individual
BENJAMIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
36824 SUNNYDALE ST, LIVONIA, MI 48154-1727
(734) 233-7644
Mailing address
36824 SUNNYDALE ST, LIVONIA, MI 48154-1727
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
06/11/2019
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