Individual
ROBERT A COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
118 W MAPLE AVE, BEAVER DAM, WI 53916-2104
(920) 356-1000
(920) 356-0719
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-2200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
36330
WI
207X00000X
Orthopaedic Surgery Physician
Primary
36330-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003837
PHYSICIANS PLUS
WI
01
—
11801
DEAN
WI
01
—
1700361940
GEHA
WI
05
—
32123200
—
WI
01
—
391796912
WPS
WI
01
—
61268
DEAN HEALTH SYSTEMS
WI
Enumeration date
08/17/2006
Last updated
11/27/2023
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