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Individual
MR. ROBERT CHARLES RUNGE JR.
Active
Individual
MR. ROBERT CHARLES RUNGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4415-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40314500
—
WI
Enumeration date
08/10/2006
Last updated
07/09/2007
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