Individual
DR. ROBERT A DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4555 W SCHROEDER DR, SUITE 170, MILWAUKEE, WI 53223-1475
(414) 365-3210
(414) 365-3225
Mailing address
PO BOX 215, MANITOWOC, WI 54221-0125
(920) 684-8101
(920) 684-1224
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30285020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31523800
—
WI
Enumeration date
12/05/2005
Last updated
06/12/2008
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