Provider Demographics
NPI:1326281692
Name:DAVIS, PATRICK F
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:F
Last Name:DAVIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7658 N 78TH ST APT 8
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53223-3962
Mailing Address - Country:US
Mailing Address - Phone:414-215-1373
Mailing Address - Fax:
Practice Address - Street 1:7658 N 78TH ST APT 8
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53223-3962
Practice Address - Country:US
Practice Address - Phone:414-215-1373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)