Stephanie Anne Davenport, PAC

NPI #1003862186 in Troy, Michigan

Provider Information

NPI Number
1003862186
Entity Type
Individual
Name
Stephanie Anne Davenport, PAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
May 26, 2006
Last Updated
Jul 15, 2022

Practice Location

Address
44201 DEQUINDRE RD
City
Troy
ZIP Code
48085-1117
Phone
(248) 964-4866

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Physician Assistant - SurgicalSurgical
Physician Assistant

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