Individual
DR. ROBERT DAVID IMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
318 N SIXTH ST, TOMAHAWK, WI 54487
(715) 453-4344
(715) 453-3011
Mailing address
318 N SIXTH ST, TOMAHAWK, WI 54487
(715) 453-4344
(715) 453-3011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4913015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33742400
—
WI
01
—
4913015
LICENSE
WI
Enumeration date
11/27/2006
Last updated
03/07/2023
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