Individual
ROBERT PAUL NEUSTIFTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
215 N WEBSTER AVE, GREEN BAY, WI 54301-4813
(920) 431-5588
(920) 445-7090
Mailing address
PO BOX 638, GREEN BAY, WI 54305-0638
(920) 246-3126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1162-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36106900
—
WI
Enumeration date
05/06/2008
Last updated
05/06/2008
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