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Individual

COLTON D DAVIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9000 W WISCONSIN AVE, PEDIATRIC CARDIOTHORACIC SURGERY, MILWAUKEE, WI 53226-4874
(414) 266-2380
(414) 266-2294
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC CARDIOTHORACIC SURGERY, MILWAUKEE, WI 53226-4874
(414) 266-2380
(414) 266-2294

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3973
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659755866
WI
Enumeration date
07/17/2015
Last updated
01/08/2024
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