Individual
ROBERT CAPELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2434 SYCAMORE DR, GREEN BAY, WI 54311-5482
(000) 000-0000
Mailing address
2434 SYCAMORE DR, GREEN BAY, WI 54311-5482
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
085-003171
IL
363A00000X
Physician Assistant
085003171
IL
363A00000X
Physician Assistant
Primary
3036
WI
363A00000X
Physician Assistant
50.004410
OH
363AS0400X
Surgical Physician Assistant
085003171
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145029
—
OH
05
—
1184721656
—
WI
05
—
71460
—
WI
Enumeration date
09/19/2006
Last updated
01/29/2026
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