Individual
ROBERT L RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
248 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-8094
Mailing address
248 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-8094
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
62020
WI
207RI0011X
Interventional Cardiology Physician
62020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100089475
—
WI
Enumeration date
04/03/2012
Last updated
12/03/2021
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