Individual
MR. WELLINGTON HERVEY DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN WISCONSIN
Contact information
Practice address
721 BUTTENHOFF RD, CHIPPEWA FALLS, WI 54729
(715) 723-5426
Mailing address
721 BUTTENHOFF RD, CHIPPEWA FALLS, WI 54729
(715) 723-5426
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
65286030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35017200
—
WI
Enumeration date
05/30/2008
Last updated
05/30/2008
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