Individual
ROBERT H HOUSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
635 W OSHKOSH ST, RIPON, WI 54971-1040
(920) 745-6900
Mailing address
635 W OSHKOSH ST, RIPON, WI 54971-1040
(920) 745-6900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17291
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31077900
—
WI
Enumeration date
09/12/2005
Last updated
07/08/2007
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