Individual
DAVID A WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
(414) 672-4265
Mailing address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
(414) 672-4265
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28809
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004000236A
HUMANA
WI
05
—
30833300
—
WI
01
—
468311194000
BC/BS
WI
01
—
7767338
AETNA
WI
Enumeration date
06/21/2005
Last updated
03/07/2023
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