Davis Medical Clinic, Sc | |
1516 W Mequon Rd Suite 103 Mequon WI 53092-3264 | |
(262) 242-0700 | |
(262) 242-0710 |
Full Name | Davis Medical Clinic, Sc |
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Speciality | Internal Medicine |
Location | 1516 W Mequon Rd, Mequon, Wisconsin |
Authorized Official Name and Position | Marsha Davis (PRESIDENT) |
Authorized Official Contact | 2622420700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Davis Medical Clinic, Sc 1516 W Mequon Rd Suite 103 Mequon WI 53092-3264 Ph: (262) 242-0700 | Davis Medical Clinic, Sc 1516 W Mequon Rd Suite 103 Mequon WI 53092-3264 Ph: (262) 242-0700 |
NPI Number | 1770538100 |
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Provider Enumeration Date | 05/24/2006 |
Last Update Date | 08/25/2009 |
Identifier | Type | State | Issuer |
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1770538100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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