Walter T. Davison, M.d., P.a.

NPI 1568649309 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1568649309
Enumeration Date 01/23/2008
Last Updated 02/02/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name WATLTER T WATLTER
Position PRESIDENT
Phone (414) 228-8693
Fax
Practice Location
2540 W DUNWOOD RD
GLENDALE WI, 53209-1824, US
Phone (414) 228-8693
Fax
Business Location
2540 W DUNWOOD RD
GLENDALE WI, 53209-1824, US
Phone (414) 228-8693
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Wisconsin
License Number 26727020
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According to our database, Walter T. Davison, M.d., P.a. NPI is 1568649309, taxonomy code is 2084P0800X and license number is 26727020, license state is located at Wisconsin. Walter T. Davison, M.d., P.a. physically located at 2540 W Dunwood Rd, Glendale WI, 53209-1824. NPI Number 1033115704 has the healthcare provider type.

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1568649309 NPI number is provided on an as is basis without warranty of any kind. 1568649309 is maintained by the National Plan & Provider Enumeration System. The contents of Walter T. Davison, M.d., P.a. are for informational purposes only.