Individual
MR. MICHAEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
11904 W NORTH AVE, SUITE 100, WAUWATOSA, WI 53226-2062
(414) 453-8616
(414) 453-6150
Mailing address
11904 W NORTH AVE, SUITE 100, WAUWATOSA, WI 53226-2062
(414) 453-8616
(414) 453-6150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11728-024
WI
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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