Individual
RICHARD K ROBERTSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ONEIDA ST, APPLETON, WI 54911-4733
(920) 832-2783
Mailing address
100 N ONEIDA ST, APPLETON, WI 54911-4733
(920) 832-2783
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602443510122
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2022
Last updated
03/21/2026
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