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Individual
MR. ROBERT ANTHONY WISDOM
Active
Individual
MR. ROBERT ANTHONY WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
209014169
IL
363LN0000X
Neonatal Nurse Practitioner
350263
NY
363LN0000X
Neonatal Nurse Practitioner
942926-6
FL
Other
Enumeration date
08/16/2006
Last updated
04/08/2016
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