Individual
LARRY D DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
849 KELLOGG AVE, JANESVILLE, WI 53546-2808
(608) 755-7960
(608) 755-7873
Mailing address
849 KELLOGG AVE, JANESVILLE, WI 53546-2808
(608) 755-7960
(608) 755-7873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A185596
CA
390200000X
Student in an Organized Health Care Education/Training Program
8075-851
WI
Other
Enumeration date
08/20/2019
Last updated
02/04/2025
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