Individual
SCOTT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N GREEN BAY RD, NEENAH, WI 54956-1954
(920) 729-6088
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34617
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31959800
—
WI
Enumeration date
06/28/2006
Last updated
04/13/2021
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