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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL ROBERT DAVIS, M.D.

Active

DR. MICHAEL ROBERT DAVIS, M.D. is a Plastic Surgery healthcare provider located in FORT WAYNE, Indiana. NPI 1477622934 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · FORT WAYNE, IN

Registration Details

NPI Number
1477622934
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2006 (19.741341407131 yrs)
Last Updated
Apr 19, 2018
Licenses
26620 (AL)
P1857 (TX)
01053296A (IN)

Practice Information

Address
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN, 468044128
Browse IN providers · Browse ZIP 46804
Phone
2604583610
Fax
2604583611
Primary Specialty
Plastic Surgery
208200000X
Additional Specialty
Plastic Surgery
Additional Specialty
Plastic Surgery

Other Plastic Surgery Providers in FORT WAYNE, IN

Name Credential NPI
GUY G CREVECOEUR MD 1124029079
DR. JOSEPH M MLAKAR MD 1801897244
KEVIN L BERNING MD 1164423620
GEOFFREY M RANDOLPH MD 1194726380
MATTHEW E SHAMBAUGH MD 1700888617
BRIAN J LEE MD 1508867656
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.