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Organization
RICHARD D DAVENPORT MD AND ASSOCIATES, SC
Active
Organization
RICHARD D DAVENPORT MD AND ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DRAKE DAVENPORT MD (PRESIDENT)
(414) 328-8762
Entity
Organization
Contact information
Practice address
3033 W LAYTON AVE STE 101, GREENFIELD, WI 53221-2628
(414) 279-5579
(414) 249-3299
Mailing address
3033 W LAYTON AVE STE 101, GREENFIELD, WI 53221-2628
(414) 279-5579
(414) 249-3299
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
19876
WI
207W00000X
Ophthalmology Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21300200
—
WI
01
—
CC8272
PALMETTO GBA-RAILROAD
WI
Enumeration date
06/17/2006
Last updated
12/09/2022
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