Individual
BRYAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2005 MIDWAY RD, MENASHA, WI 54952
(920) 832-8500
(920) 380-4840
Mailing address
229 S MORRISON ST, APPLETON, WI 54911-5725
(920) 832-2783
(920) 832-2635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66817-20
WI
Other
Enumeration date
04/08/2015
Last updated
06/29/2018
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