Individual
ROBERT Z EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 S MAIN ST, DEFOREST, WI 53532-1480
(608) 846-4605
Mailing address
815 S MAIN ST, DEFOREST, WI 53532-1480
(608) 846-4605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44290
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34176000
—
WI
01
—
61165
DEAN HEALTH INSURANCE
WI
Enumeration date
03/14/2006
Last updated
10/07/2016
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