GLEN A DAVIS

SOUTH BEND, IN
NPI1528058344
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IN  01053925A)
Enumeration Date2005-10-24
Last Update Date2008-06-06
Business Address
Dr. GLEN A DAVIS MD
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-233-7337
Mailing Address
Dr. GLEN A DAVIS MD
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-233-7337