Individual
ROBERT E KOLLPAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
425 PINE RIDGE BLVD, SUITE 209, WAUSAU, WI 54401
(715) 847-0400
(715) 847-0401
Mailing address
425 PINE RIDGE BLVD, SUITE 209, WAUSAU, WI 54401
(715) 847-0400
(715) 847-0401
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
981
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42970700
—
WI
Enumeration date
07/19/2006
Last updated
07/08/2007
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