DR. R DALE DAVIS MD
NPI 1366455503
Internal Medicine in Green Bay, WI

Q: What is R Davis's NPI number?

The NPI number for R Davis is 1366455503. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is R Davis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for R Davis was last updated on July 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 15, 2006

704 S WEBSTER AVE, STE 102, GREEN BAY, WI 54301(920) 433-7516(920) 433-7464 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. R Dale Davis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. R DALE DAVIS MD (NPI 1366455503) is an individual internal medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (30054) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1366455503

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. R DALE DAVISCredential: MD

Location Address704 S WEBSTER AVE, STE 102Green Bay, WI 54301

Mailing Address704 S Webster Ave, Ste 102Green Bay, WI 54301 · (920) 433-7516 · Fax (920) 433-7464

Phone(920) 433-7516

Fax(920) 433-7464

Sole ProprietorNo

Enumeration DateAugust 15, 2006

Last NPPES UpdateJuly 13, 2010

✔ NPI 1366455503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 30054

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

704 S WEBSTER AVE, Green Bay, WI 54301

Open in Google Maps ↗