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Individual

DR. ROBERT F DONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF UROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-0805
(414) 805-0771
Mailing address
PO BOX 100247, GAINESVILLE, FL 32610-0247

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
29424
WI
208800000X
Urology Physician
Primary
ME124003
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002000114W
HUMANA
05
1659323566
WI
Enumeration date
05/17/2006
Last updated
09/28/2021
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