MD Fred Neal Davis, NPI 1225099161
Interventional Pain Medicine Physician in Grand Rapids, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1225099161
NPI Entity Type Individual
Provider Name MD Fred Neal Davis
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI, US
Provider Mailing Address 61 Commerce Ave Sw, Grand Rapids, MI, US, 495034124
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

208VP0014X

Taxonomy Name Interventional Pain Medicine Physician
Classification

Pain Medicine

Group

Allopathic & Osteopathic Physicians

License No. 4301043532
License State MI
Description Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Business Address

MD Fred Neal Davis
2060 E Paris Ave Se
Suite 200

Grand Rapids, MI, US

Phone: 616-285-1377
Fax: 616-285-1154

Mailing Address

MD Fred Neal Davis
61 Commerce Ave Sw
Grand Rapids, MI, US
ZIP 495034124
Phone: 616-940-0660
Fax: 616-940-1965

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
4532270-10 MI MEDICAID 05
7000027051 PRIORITY HEALTH MEDICAID 01
050044374 RAILROAD MEDICARE 01
11908 HEALTH PLAN OF MICHIGAN 01
4552970-10 MI MEDICAID 05
2019450 PHYSICIANS HEALTH PLAN 01
550410724 MI BLUE CROSS BLUE SHIELD 01
7582081 CIGNA 01
4098753 AETNA 01
7000027051 PRIORITY HEALTH 01

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NPI Name Taxonomy Address

1659096923

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1891221545

Logan Morse

Individual

Pharmacist

7343 Oakhaven Ct Ne

Ada, MI

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