LARRY D DAVIS

JANESVILLE, WI
NPI1245887728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WI  8075-851)
Enumeration Date2019-08-20
Last Update Date2023-10-27
Business Address
LARRY D DAVIS MD
849 KELLOGG AVE
JANESVILLE, WI 53546-2808
Phone number: 608-755-7960
Mailing Address
LARRY D DAVIS MD
849 KELLOGG AVE
JANESVILLE, WI 53546-2808
Phone number: 608-755-7960