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Individual

MR. JOSEPH ROBERT DOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
424 S MONROE AVE, #106, GREEN BAY, WI 54301-4054
(920) 437-4366
(920) 437-0954
Mailing address
424 S MONROE AVE, #106, GREEN BAY, WI 54301-4054
(920) 437-4366
(920) 437-0954

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26550
WI
208D00000X
General Practice Physician
26550
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30021900
WI
01
80085001
RR MEDICARE
Enumeration date
09/06/2005
Last updated
11/26/2007
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