Davis Medical Clinic, Sc

NPI #1770538100 in Mequon, Wisconsin

Provider Information

NPI Number: 1770538100
Entity Type: Organization
Organization Name: Davis Medical Clinic, Sc
Primary Specialty: Internal Medicine
Enumeration Date: May 24, 2006
Last Updated: Aug 25, 2009

Practice Location

Address: 1516 W MEQUON RD
Address 2: SUITE 103
City: Mequon
State: Wisconsin
ZIP Code: 53092-3264
Phone: (262) 242-0700

Authorized Official

Name: MARSHA DAVIS, MD
Title: PRESIDENT
Phone: (262) 242-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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