Individual
MR. DAVID F DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2483 CORPORATE CIR, EAST TROY, WI 53120-2575
(262) 642-2000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
515-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42937600
—
WI
Enumeration date
08/20/2006
Last updated
03/07/2023
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