Individual
ROBERT NOTTESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
203 W SUNNY LN, JANESVILLE, WI 53546-9091
(608) 741-4500
(608) 741-4502
Mailing address
203 W SUNNY LN, JANESVILLE, WI 53546-9091
(608) 741-4500
(608) 741-4502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
18809
WI
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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