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Individual

GEORGE E DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
705 S UNIVERSITY AVE, SUITE 100, BEAVER DAM, WI 53916-3053
(920) 887-1151
(920) 887-3353
Mailing address
705 S UNIVERSITY AVE, SUITE 100, BEAVER DAM, WI 53916-3053
(920) 887-1151
(920) 887-3353

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21978
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003606
PHYSICIANS PLUS HMO
WI
01
180012216
RAIL ROAD MEDICARE
WI
01
180012216
RAIL ROAD MEDICARE
05
30404100
WI
01
39115615602
UNITY HMO
WI
01
7746
NETWORK HEALTH PLAN
WI
01
934
DEAN CARE HMO
WI
01
WI0101
JOHN DEERE HEALTH PLAN
Enumeration date
07/19/2006
Last updated
05/16/2008
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