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Individual

ROBERT J. HAVLIK

Active
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Individual

ROBERT J. HAVLIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
01041790A
IN
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
60859
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100347870
IN
05
1629023221
WI
Enumeration date
05/23/2006
Last updated
11/08/2016
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