IndividualActive
Michael Davis, M.D.
NPI 1477622934 · Plastic Surgery Physician · Fort Wayne, IN
Provider details
- NPI number
- 1477622934
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 26620 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
7900 W Jefferson Blvd Ste 306
Fort Wayne, IN 46804-4128
Phone: (260) 458-3610
Fax: (260) 458-3611
Approximate (ZIP-level) locationGet directions
Mailing address
6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2018-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.