Individual
DR. ANDREA MARIE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1431 W MASON ST, GREEN BAY, WI 54303-2120
(920) 405-0050
(920) 405-0553
Mailing address
1431 W MASON ST, GREEN BAY, WI 54303-2120
(920) 405-0050
(920) 405-0553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4086-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38963900
—
WI
Enumeration date
10/20/2006
Last updated
01/09/2023
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