Organization
WALTER T. DAVISON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WATLTER T DAVISON M.D. (PRESIDENT)
(414) 228-8698
Entity
Organization
Contact information
Practice address
2540 W DUNWOOD RD, GLENDALE, WI 53209-1824
(414) 228-8693
Mailing address
2540 W DUNWOOD RD, GLENDALE, WI 53209-1824
(414) 228-8693
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26727020
WI
Other
Enumeration date
01/23/2008
Last updated
02/02/2008
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