Individual
ROBERT ALAN CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 LAWRENCE DR, DE PERE, WI 54115-9108
(920) 983-3220
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25135
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30522900
—
WI
Enumeration date
11/03/2006
Last updated
12/02/2015
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