Individual
MARY A. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10212 N GREENWOOD LN, HAYWARD, WI 54843-7220
(715) 634-6520
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3142
WI
Other
Enumeration date
08/08/2007
Last updated
07/03/2012
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