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Individual

RONDA D DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
230 DERONDA ST, AMERY, WI 54001-1412
(715) 268-0070
(715) 268-0071
Mailing address
230 DERONDA ST, AMERY, WI 54001-1412
(715) 268-0070
(715) 268-0071

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
3460780-1205
UT
2084P0800X
Psychiatry Physician
Primary
43026
WI
2084P0804X
Child & Adolescent Psychiatry Physician
3460780-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34087400
WI
Enumeration date
09/02/2006
Last updated
02/02/2016
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