Organization
ROBERT L HUME DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L HUME DPM (OWNER)
(715) 832-1400
Entity
Organization
Contact information
Practice address
4212 SOUTHTOWN DR, EAU CLAIRE, WI 54701-2635
(715) 832-1400
(715) 832-4187
Mailing address
4212 SOUTHTOWN DR, EAU CLAIRE, WI 54701-2635
(715) 832-1400
(715) 832-4187
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
436-025
WI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3396
SECURITY HEALTH PLAN
WI
05
—
41747700
—
WI
05
—
43211400
—
WI
01
—
791480582
MEDICARE RAILROAD
WI
Enumeration date
12/21/2007
Last updated
06/03/2008
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