Individual
ROBERT KNOX DEMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
704 S WEBSTER AVE, SUITE 100B, GREEN BAY, WI 54301-3528
(920) 433-3496
(920) 433-3669
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
26772
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30661000
—
WI
Enumeration date
11/02/2006
Last updated
04/29/2016
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