Individual
RICK D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 W 9TH AVE, STE.11, OSHKOSH, WI 54904-7247
(920) 236-1605
(920) 236-1628
Mailing address
228 S 18TH AVE STE 11, STURGEON BAY, WI 54235-1000
(920) 236-1605
(920) 236-1628
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
38209-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41084933956001C231
CHAMPUS
—
Enumeration date
03/14/2006
Last updated
02/09/2021
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