MR. Michael Vernon Davis I

NPI #1962064691 in Mattoon, Illinois

Provider Information

NPI Number
1962064691
Entity Type
Individual
Name
MR. Michael Vernon Davis I
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Driver
Enumeration Date
Jul 2, 2019
Last Updated
Jul 2, 2019

Practice Location

Address
502 W PARK PLZ
ZIP Code
61938-3639
Phone
(217) 234-3222

Specialties & Taxonomy Codes

Specialty
Driver

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