Individual
MR. ROBERT MICHAEL NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 HIGHLINE DR, EAST WENATCHEE, WA 98802-5341
(509) 884-0614
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10000127
WA
363AS0400X
Surgical Physician Assistant
PA10000127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114072113
—
WA
01
—
280644
L&I
WA
01
—
900994263
RAILROAD MEDICARE
WA
Enumeration date
01/23/2007
Last updated
08/27/2013
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