Individual
EDWIN F DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5430 REIGHMOOR RD, OMRO, WI 54963-9438
(920) 312-3472
Mailing address
5430 REIGHMOOR RD, OMRO, WI 54963-9438
(920) 312-3472
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4248-012
WI
Other
Enumeration date
09/27/2006
Last updated
01/29/2014
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