Individual
DEMETRIUS ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(414) 313-5186
Mailing address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(414) 313-5186
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
12/08/2015
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