Individual
ROBERT L PAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
150 SUNNYSLOPE ROAD SUITE 136, BROOKFIELD, WI 53005-4858
(262) 786-4550
(262) 786-4552
Mailing address
150 SUNNYSLOPE ROAD SUITE 136, BROOKFIELD, WI 53005-4550
(262) 786-4550
(262) 786-4552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1356-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970030625
RAILROAD MEDICARE
WI
Enumeration date
05/11/2006
Last updated
11/19/2011
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