Individual
DANIEL R. ROBILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3238 S 16TH ST, MILWAUKEE, WI 53215-4535
(414) 643-4430
(414) 643-4693
Mailing address
3238 S 16TH ST, MILWAUKEE, WI 53215-4535
(414) 643-4430
(414) 643-4693
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
130-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42908700
—
WI
Enumeration date
06/22/2006
Last updated
07/08/2007
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