Individual
ROBERT IHSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S, CCC-SLP
Contact information
Practice address
500 GRANT AVE, OMRO, WI 54963-1342
(920) 685-2755
Mailing address
500 GRANT AVE, OMRO, WI 54963-1342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4673
WI
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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