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1811999063
RICHARD D DAVENPORT
WEST ALLIS, WI
NPI
1811999063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: WI 19876)
Enumeration Date
2005-06-01
Last Update Date
2015-12-03
Business Address
-- RICHARD D DAVENPORT MD
2424 S 90TH ST STE 506
WEST ALLIS, WI 53227-2455
Phone number: 414-328-8760
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Mailing Address
-- RICHARD D DAVENPORT MD
2424 S 90TH ST STE 506
WEST ALLIS, WI 53227-2455
Phone number: 414-328-8760
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