Organization
DR RICK DAVISON AND ASSOC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOSEPH DAVISON OD (OWNER)
(920) 731-6116
Entity
Organization
Contact information
Practice address
4301 W WISCONSIN AVE, APPLETON, WI 54913-8605
(920) 731-6116
(920) 731-6119
Mailing address
4301 W WISCONSIN AVE, APPLETON, WI 54913-8605
(920) 731-6116
(920) 731-6119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1993
WI
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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