Individual
JAIME LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 W LAKE ST, SUITE 208, MINNEAPOLIS, MN 55408-3397
(612) 455-3200
Mailing address
408 RIVER ST, MINNEAPOLIS, MN 55401-2530
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
37613
MN
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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