Individual
ROBERT J CHOUDOIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481
(715) 346-5000
Mailing address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
398
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42910900
—
WI
Enumeration date
01/11/2007
Last updated
07/09/2007
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