Individual
DAVID NEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 735-7645
(920) 735-7618
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25375
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30818100
—
WI
Enumeration date
07/20/2006
Last updated
07/08/2007
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