Individual
ROBERT J HALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
035105392
IL
207P00000X
Emergency Medicine Physician
26624
WV
207P00000X
Emergency Medicine Physician
44713-020
WI
207P00000X
Emergency Medicine Physician
Primary
D75037
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105392
—
IL
05
—
34602500
—
WI
01
—
930118424
MEDICARE RAILROAD
IL
01
—
P00012889
MEDICARE RAILROAD
WI
01
—
P00043244
MEDICARE RAILROAD
IL
Enumeration date
05/23/2006
Last updated
05/08/2020
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