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Individual

ROBERT G. TEEHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1969 W. HART ROAD, BELOIT MEMORIAL HOSPITAL, BELOIT, WI 53511-2230
(608) 363-5971
(608) 363-5737
Mailing address
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-2293
(608) 364-5452

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39300
WI
208M00000X
Hospitalist Physician
Primary
39300-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32550600
WI
Enumeration date
10/16/2006
Last updated
01/13/2017
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