Individual
ROBERT ELMER SONNENBURG JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8230
(920) 288-8235
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
47907020
WI
207YS0012X
Sleep Medicine (Otolaryngology) Physician
47907020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34628100
—
WI
05
—
4728367
—
MI
05
—
4728376
—
MI
05
—
4728385
—
MI
Enumeration date
12/09/2005
Last updated
12/05/2024
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