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Individual

DR. ANDREW DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
920 E 1ST ST STE 301, DULUTH, MN 55805-2225
(319) 356-3574
Mailing address
920 E 1ST ST STE 301, DULUTH, MN 55805-2225

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
68193
MN
207Y00000X
Otolaryngology Physician
R-10112
IA

Other

Enumeration date
06/18/2014
Last updated
06/16/2021
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