Bruce Davison is a Pediatrics in Hubertus, Wisconsin. Bruce Davison practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Bruce Davison is 1780615583. The last update date is 2023-03-01.
Bruce Davison's current location address is 5499 State Road 167, Hubertus, Wisconsin. You can contact this provider via phone number 8123444201. The mailing address for Bruce Davison is 5499 State Road 167, Hubertus, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Davison |
|---|---|
| Address | 5499 State Road 167, Hubertus, Wisconsin |
| Phone Number | 8123444201 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780615583 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2023-03-01 |
Provider Mailing Address Detail
| Address | 5499 State Road 167 |
|---|---|
| City | Hubertus |
| State | Wisconsin (WI) |
| Post Code | 530339773 |
| Phone Number | 8123444201 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 1036816 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100358660 | IN | -- | |
| 984523 | IN | ANTHEM PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bruce Davison by the Centers for Medicare & Medicaid Services?
The Bruce Davison has been issued the NPI (National Provider Identifier) 1780615583, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bruce Davison is located?
The Bruce Davison is situated at the following address: 5499 State Road 167, Hubertus, WI, 530339773.
What is the area of specialization for Bruce Davison, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bruce Davison is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Bruce Davison receive the assignment of its 1780615583 from the Centers for Medicare & Medicaid Services?
The Bruce Davison was issued its 1780615583 by the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the information pertaining to Bruce Davison most recently updated or revised?
The details related to Bruce Davison, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-01.
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