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NPI Verification

National Provider Identifier: 1114459476

Jared Davis, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Primary

Urology

Code: 208800000X

Practice Address

1000 HARRINGTON BOULEVARD

MOUNT CLEMENS, MI 48043

NPI Enumeration Date

March 28, 2017

NPI Number

1114459476

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Jared Davis, D.o. - NPI 1114459476 | Provider Verification | HormoneMap