Individual
DR. JASON WESLEY DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
21075 SWENSON DR, SUITE 700, WAUKESHA, WI 53186-2000
(612) 802-0865
Mailing address
200 MEADOW OAK TRL, WAUNAKEE, WI 53597-1467
(612) 802-0865
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4466-012
WI
Other
Enumeration date
03/04/2009
Last updated
04/06/2009
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