Individual
E LANNY ROBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 YELLOW BIRCH RD, EAGLE RIVER, WI 54521-8410
(715) 479-2710
Mailing address
4401 YELLOW BIRCH RD, EAGLE RIVER, WI 54521-8410
(715) 470-2710
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21203
WI
207Q00000X
Family Medicine Physician
Primary
21203
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30429300
—
WI
Enumeration date
09/25/2006
Last updated
08/30/2012
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