| Walter T. Davison, M.d., P.a. | |
|
2540 W Dunwood Rd Glendale WI 53209-1824 | |
| (414) 228-8693 | |
| Not Available |
| Full Name | Walter T. Davison, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2540 W Dunwood Rd, Glendale, Wisconsin |
| Authorized Official Name and Position | Watlter T Davison (PRESIDENT) |
| Authorized Official Contact | 4142288698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter T. Davison, M.d., P.a. 2540 W Dunwood Rd Glendale WI 53209-1824 Ph: (414) 228-8693 | Walter T. Davison, M.d., P.a. 2540 W Dunwood Rd Glendale WI 53209-1824 Ph: (414) 228-8693 |
| NPI Number | 1568649309 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 02/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568649309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 26727020 (Wisconsin) | Primary |
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