Individual
MR. ROBERT CLEMENT WUBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1516 S COMMERCIAL ST, NEENAH, WI 54956-4802
(920) 725-0077
(920) 725-6535
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
(920) 725-6535
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23907
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30663700
—
WI
01
—
450030841
MEDICARE PTAN
WI
01
—
711290236
MEDICARE PTAN
WI
Enumeration date
08/26/2006
Last updated
09/24/2013
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