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Michael Davis

NPI 1962064691 · on the registry since 2019 · sole proprietor

Practice

Address
502 W Park Plz
Mattoon, IL 61938
Phone
(217) 234-3222

Registry record

Primary taxonomy
Driver
172A00000X
Sex
Male
Record last updated
2019-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois