Individual
ROBERT CHARLES MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4700
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(924) 457-2109
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27039
LICENSE
WI
Enumeration date
12/09/2005
Last updated
09/12/2023
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