Individual
ROBERT E PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
(715) 387-5853
Mailing address
4607 W BAY SHORE CIR, UNIT B-3, STURGEON BAY, WI 54235-8185
(608) 609-6064
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
22226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30227400
—
WI
Enumeration date
09/06/2006
Last updated
08/08/2013
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