Individual
ROBERT E DOCHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-3331
Mailing address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-3331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
226369
WI
363LF0000X
Family Nurse Practitioner
Primary
10357
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100152023
—
WI
Enumeration date
06/01/2020
Last updated
12/04/2025
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