LARRY DAVIS

KENOSHA, WI
NPI1699715888
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: WI  69544-20)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  036-104343)
Enumeration Date2006-06-07
Last Update Date2019-02-01
Business Address
Dr. LARRY DAVIS MD
6809 122ND AVE
KENOSHA, WI 53142-7335
Phone number: 262-654-8633
Mailing Address
Dr. LARRY DAVIS MD
9000 W WISCONSIN AVE # MS 958
MILWAUKEE, WI 53226-4874
Phone number: 414-266-7615