Individual
DR. KAREN D. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6913 N MAIN ST, GRANGER, IN 46530-8039
(574) 647-2970
(574) 647-2971
Mailing address
6913 N MAIN ST, GRANGER, IN 46530-8039
(574) 647-2970
(574) 647-2971
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01064268A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200879520
—
IN
Enumeration date
07/07/2006
Last updated
09/27/2011
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