Individual
SUSAN R DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 S PARK ST, ST MARYS HOSPITAL/DEAN MEDICAL CENTER, MADISON, WI 53715-1849
(608) 252-7458
(608) 258-6772
Mailing address
700 S PARK ST, ST MARYS HOSPITAL/DEAN MEDICAL CENTER, MADISON, WI 53715-1849
(608) 252-7458
(608) 258-6772
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
27955-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841232873
—
WI
Enumeration date
06/12/2006
Last updated
12/18/2020
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