Individual
ROBERT J MONETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1789 SHAWANO AVE, GREEN BAY, WI 54303-3243
(920) 499-1428
(920) 499-7080
Mailing address
PO BOX 3006, GREEN BAY, WI 54303-0006
(920) 499-1428
(920) 499-7080
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30468020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018826005
UNITED HEALTHCARE AMERICH
—
01
—
14139
DEAN HEALTH
—
01
—
300043284
RR MEDICARE
—
05
—
31899700
—
WI
05
—
4724009
—
MI
05
—
4767196
—
MI
01
—
567565
DEAN HEALTH
—
01
—
P00028704
RR MEDICARE
—
Enumeration date
07/12/2006
Last updated
10/25/2012
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