Provider Demographics
NPI:1336110170
Name:USHER, DAVID JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOHN
Last Name:USHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3004 GOLF RD STE 103
Mailing Address - Street 2:SUITE 303
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-8794
Mailing Address - Country:US
Mailing Address - Phone:715-514-2827
Mailing Address - Fax:888-606-1323
Practice Address - Street 1:3004 GOLF RD STE 103
Practice Address - Street 2:SUITE 303
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-8794
Practice Address - Country:US
Practice Address - Phone:715-514-2827
Practice Address - Fax:888-606-1323
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2016-07-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI40389207Q00000X
WI40389-020207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32507500Medicaid
WI32507500Medicaid
WI0302 20195Medicare ID - Type Unspecified