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Individual

ROBERT J MONETTE

Active
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Individual

ROBERT J MONETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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