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Individual

DR. HOWARD W DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1325 ANGEL'S PATH, DE PERE, WI 54115-4050
(920) 338-2855
(920) 338-9270
Mailing address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 338-2855
(920) 338-9270

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24903
WI
2084P0804X
Child & Adolescent Psychiatry Physician
24903
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24903
LICENSE
WI
05
30734500
WI
Enumeration date
06/13/2006
Last updated
03/07/2023
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