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Individual

DR. DOUGLAS JACKSON DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
63977
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093980377
WI
Enumeration date
04/28/2008
Last updated
04/29/2024
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