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
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
Provider Enumeration Date 2005-11-28
Last Updated Date 2013-03-19

Provider Mailing Address Detail

Address 2900 Bradford St Ne
City Grand Rapids
State Michigan (MI)
Post Code 495256427
Phone Number 6168855000
Fax Number 6168855020

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
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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FAQs about Robert Cullen Davidson

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.

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