Mihal Davis, ND, LAC

Individual provider Active NPI Naturopath · Prairie Du Sac, WI

NPI 1407093693 · NPPES record last updated Jan 9, 2009

Key facts

NPI
1407093693
Entity type
Individual (NPI type 1)
Primary specialty
Naturopath 175F00000X
License
NT00000860 (WA)
Practice address
608 Water St
Prairie Du Sac, WI 53578-1027
Phone
(608) 588-4464
NPI assigned
Jan 9, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AC 00000723WAMDAcupuncturist
NT00000860WAMDNaturopath

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 00000723 WA
Naturopath 175F00000X NT00000860 WA Yes

Addresses

Primary practice location

608 Water St
Prairie Du Sac, WI 53578-1027

Mailing address

608 Water St
Prairie Du Sac, WI 53578-1027
Phone (608) 588-4464

Other providers in Prairie Du Sac, WI

All providers in Prairie Du Sac, WI · Naturopath in Wisconsin

Sources for this page

Verify at the official NPI Registry.