Individual
ROBERT EARL DEAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3557-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100046467
—
WI
Enumeration date
06/22/2015
Last updated
08/01/2024
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