Individual
DR. DIANA A DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142
(262) 948-6790
(262) 948-7326
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36-103469
IL
207R00000X
Internal Medicine Physician
Primary
43464
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34113200
—
WI
Enumeration date
08/22/2006
Last updated
08/14/2024
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