Individual
DR. ROBERT L HUXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3056 S KINNICKINNIC AVE, SUITE 300, MILWAUKEE, WI 53207-2583
(414) 294-0971
(414) 294-0980
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 294-0971
(414) 294-0980
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21728
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30614700
—
WI
Enumeration date
06/08/2006
Last updated
06/11/2012
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