Individual
MR. ROBERT P. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4 DEERWOOD AVE NW, WADENA, MN 56482-1253
(218) 631-1360
(218) 631-7571
Mailing address
4 DEERWOOD AVE NW, WADENA, MN 56482-1253
(218) 631-1360
(218) 631-7571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8808
MN
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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