Individual
JOHN B DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 EXCHANGE ST W, #750, SAINT PAUL, MN 55102-1045
(651) 232-4340
(651) 232-4198
Mailing address
17 EXCHANGE ST W, #750, SAINT PAUL, MN 55102-1045
(651) 232-4340
(651) 232-4198
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
46186
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34425700
—
WI
Enumeration date
12/08/2005
Last updated
03/07/2023
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