NPI 1417044538

Richard a Davis, MD

Practitioner Orthopaedic Surgery Physician Waconia, MN

Practice location

Address: 560 S Maple St STE 200, Waconia, MN 55387-1757
Phone: (952) 442-2163
Fax: (952) 442-5903
Mailing address: 8170 33rd Ave S Ms21110q, Minneapolis, MN 55425-4516

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 53307 (MN)

Other Orthopaedic Surgery providers in Minnesota →

Registry record

NPI: 1417044538
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Oct 2006
Record last updated: 5 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.