IndividualActive
Mark Davis, DO
NPI 1720165772 · Rheumatology Physician · Green Bay, WI
Provider details
- NPI number
- 1720165772
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 34460 (WI)
Practice location
2223 Lime Kiln Rd
Suite 1
Green Bay, WI 54311-6213
Phone: (920) 430-8120
Fax: (920) 430-8122
Mailing address
2223 Lime Kiln Rd
Green Bay, WI 54311-6213
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2010-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.