Individual
ROBERT J. HAVLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 N MAYFAIR RD, PLASTIC SURGERY CENTER, MILWAUKEE, WI 53226-3462
(414) 955-1000
(414) 955-0183
Mailing address
1155 N MAYFAIR RD, PLASTIC SURGERY CENTER, MILWAUKEE, WI 53226-3462
(414) 955-1000
(414) 955-0183
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
01041790A
IN
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
60859
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100347870
—
IN
05
—
1629023221
—
WI
Enumeration date
05/23/2006
Last updated
11/08/2016
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