Organization
WILLIAM R DAVIS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R DAVIS MD (OWNER)
(414) 456-1123
Entity
Organization
Contact information
Practice address
2600 N MAYFAIR RD, SUITE 950, WAUWATOSA, WI 53226-1309
(414) 456-1123
(414) 456-1766
Mailing address
2600 N MAYFAIR RD, SUITE 950, WAUWATOSA, WI 53226-1309
(414) 456-1123
(414) 456-1766
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36170
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32085100
—
WI
Enumeration date
07/06/2006
Last updated
10/23/2007
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