Search › Michigan › 164W00000X

Mary Davenport

NPI 1962855692 · on the registry since 2016

Practice

Address
37520 Harper Ave Apt 107
Clinton Twp, MI 48036
Phone
(313) 208-5882

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-07-18

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 Michigan