Individual
DR. ROBERT JOSEPH KANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2010 PROGRESS BLVD, ANTIGO, WI 54409-2475
(715) 623-7221
(715) 627-4548
Mailing address
2010 PROGRESS BLVD, ANTIGO, WI 54409-2475
(715) 623-7221
(715) 627-4548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2480
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33407700
—
WI
Enumeration date
03/19/2007
Last updated
07/08/2007
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