Organization
DAVIS MEDICAL CLINIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA DAVIS MD (PRESIDENT)
(262) 242-0700
Entity
Organization
Contact information
Practice address
1516 W MEQUON RD, SUITE 103, MEQUON, WI 53092-3264
(262) 242-0700
(262) 242-0710
Mailing address
1516 W MEQUON RD, SUITE 103, MEQUON, WI 53092-3264
(262) 242-0700
(262) 242-0710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2006
Last updated
08/25/2009
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