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Davis Medical Clinic, Sc

Internal Medicine in Mequon, WI. Organization (NPI-2).

NPI number1770538100
StatusActive
Last updated in NPPESAug 25, 2009

Details

NPI
1770538100
Entity type
Organization (NPI-2)
Legal business name
Davis Medical Clinic, Sc
Organization subpart
No
Enumeration date
May 24, 2006
Last updated
Aug 25, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

1516 W Mequon Rd
Suite 103
Mequon, WI 53092-3264

Phone 262-242-0700 · Fax 262-242-0710

Mailing address

1516 W Mequon Rd
Suite 103
Mequon, WI 53092-3264

Phone 262-242-0700 · Fax 262-242-0710

Authorized official

Marsha Davis
President
2622420700

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