Robert Cullen Davidson in Grand Rapids - Cardiovascular Disease
Robert Cullen Davidson - NPI 1184607806
Robert Cullen Davidson is a Cardiovascular Disease in Grand Rapids, Michigan. Robert Cullen Davidson practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Robert Cullen Davidson is 1184607806. The last update date is 2013-03-19.
Robert Cullen Davidson's current location address is 2900 Bradford St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6168855000 and fax number 6168855020. The mailing address for Robert Cullen Davidson is 2900 Bradford St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Cullen Davidson |
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Address | 2900 Bradford St Ne, Grand Rapids, Michigan |
Phone Number | 6168855000 |
Fax Number | 6168855020 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1184607806 |
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Provider Enumeration Date | 2005-11-28 |
Last Updated Date | 2013-03-19 |
Provider Mailing Address Detail
Address | 2900 Bradford St Ne |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495256427 |
Phone Number | 6168855000 |
Fax Number | 6168855020 |
Provider's Primary Taxonomy Detail
Speciality | Cardiovascular Disease |
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Taxonomy | 207Rc0000X |
Licence No | 4301034558 |
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4709460 | MI | -- | |
60053856 | MI | RAILROAD MEDICARE |
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What is the unique identification code assigned to Robert Cullen Davidson by the Centers for Medicare & Medicaid Services?
The Robert Cullen Davidson has been issued the NPI (National Provider Identifier) 1184607806. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Robert Cullen Davidson?
The Robert Cullen Davidson is physically situated at 2900 Bradford St Ne, in the city of Grand Rapids, state of MI, with the postal code 495256427.
What is the Robert Cullen Davidson's specialty and taxonomy code?
The Robert Cullen Davidson's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184607806 to Robert Cullen Davidson?
The Robert Cullen Davidson received its 1184607806 assignment from the Centers for Medicare & Medicaid Services on 2005-11-28.
When was the Robert Cullen Davidson's information last updated?
The Robert Cullen Davidson's information was last updated on 2013-03-19.