Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark P Davenport, MD

Individual provider Family Medicine Physician · NPI 1477525632

Mark P Davenport, MD is a Family Practice in Traverse City, Michigan. Graduated from Wayne State University School of Medicine in 1981, 45 years ago. Practices with Partners in Family Practice PC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
45
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3601 W Frnt ST
Traverse City, MI 49684-8151
Phone: (231) 946-1120
Fax: (231) 946-8943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301044971 (MI)

Record details

NPI number1477525632
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 2, 2006
Last updated in NPPESNovember 27, 2023
Certification dateOctober 22, 2020
Mailing address3601 W Front St, Traverse City, MI 49684-8151

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice Partners In Family Practice Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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