Individual
DEMETRICE SHARNAE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1301
Mailing address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14415
NV
2085R0202X
Diagnostic Radiology Physician
92688
GA
2085R0202X
Diagnostic Radiology Physician
E-16415
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962710780
—
NV
01
—
P00113844
RR MEDICARE
NV
Enumeration date
09/14/2010
Last updated
03/17/2026
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