Individual
DR. ROBERT JOSEPH DEFATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PH D, FACS
Contact information
Practice address
1490 RIVERS EDGE TRAIL, ALTOONA, WI 54720-1495
(715) 828-2368
Mailing address
1490 RIVERS EDGE TRAIL, ALTOONA, WI 54720-1495
(715) 828-2368
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
243412
NY
207Y00000X
Otolaryngology Physician
Primary
55984-20
WI
207YP0228X
Pediatric Otolaryngology Physician
243412
NY
207YP0228X
Pediatric Otolaryngology Physician
55984
WI
207YS0012X
Sleep Medicine (Otolaryngology) Physician
243412
NY
207YS0012X
Sleep Medicine (Otolaryngology) Physician
55984
WI
207YS0123X
Facial Plastic Surgery Physician
243412
NY
207YS0123X
Facial Plastic Surgery Physician
55984
WI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
243412
NY
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
55984
WI
207YX0602X
Otolaryngic Allergy Physician
243412
NY
207YX0602X
Otolaryngic Allergy Physician
55984
WI
207YX0901X
Otology & Neurotology Physician
243412
NY
207YX0901X
Otology & Neurotology Physician
55984
WI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
243412
NY
Other
Enumeration date
03/14/2007
Last updated
12/20/2021
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