Individual
DR. CHARLES BRAXTON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.177115
IL
2085R0202X
Diagnostic Radiology Physician
Primary
A184390
CA
2085R0202X
Diagnostic Radiology Physician
W0554
TX
Other
Enumeration date
04/19/2018
Last updated
12/16/2025
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