Davison, Bruce

Davison, Bruce is an individual health care provider with primary practice located at 4855 S Moorland Rd , New Berlin WI 53151-7494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Davison, Bruce can be contacted via phone (262) 432-7599.

Contact Information

Primary practice address
4855 S Moorland Rd New Berlin WI 53151-7494
Phone: (262) 432-7599
Fax: (262) 432-7694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1036816 Indiana

Profile Details

NPI number 1780615583
LBN Legal business name Davison, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Mar 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780615583 NPPES
Indiana MEDICAID 100358660
Indiana Other 000000984523

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