NPI 1356047476

Gabriel Enzy Robinson

Practitioner Meals Provider Pewaukee, WI

Practice location

Address: 1302 Sunnyridge Rd APT 2, Pewaukee, WI 53072-3893
Phone: (262) 744-5789

Registered specialties

Meals Provider Primary

Other Service Providers Taxonomy 174200000X Licence WI035621801698 (WI)

Other Meals providers in Wisconsin →

Registry record

NPI: 1356047476
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2023
Record last updated: 31 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.