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Individual

ROBERT MC ROBERTS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.PED

Contact information

Practice address
1706 YORK ST STE 3, BLOOMER, WI 54724-1921
(715) 581-5005
(715) 568-1501
Mailing address
1706 YORK ST, UNIT#3, BLOOMER, WI 54724-1920
(715) 577-9098

Taxonomy

Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary

Other

Enumeration date
12/27/2016
Last updated
01/06/2018
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