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Individual

RICHARD A DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
560 S MAPLE ST STE 200, WACONIA, MN 55387-1757
(952) 442-2163
(952) 442-5903
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 254-7033

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
53307
MN

Other

Enumeration date
10/09/2006
Last updated
02/05/2018
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