Individual provider · Type 1 NPI

Michael Robert Davis, MD

Plastic Surgery Physician · Fort Wayne, IN

NPI number 1477622934 Active

Practice location

7900 W Jefferson Blvd Ste 306
Fort Wayne, IN 46804-4128

Call (260) 458-3610 Map

Fax (260) 458-3611

Mailing address

6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000X26620 (AL)
Plastic Surgery Physician 208200000XP1857 (TX)
Plastic Surgery Physician Primary 208200000X01053296A (IN)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1477622934

Michael Robert Davis, MD's National Provider Identifier is 1477622934, issued on Nov 7, 2006. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 19, 2018.