NPI 1417492679

Robert Mc Roberts, CPED

Practitioner Pedorthist Bloomer, WI

Practice location

Address: 1706 York St STE 3, Bloomer, WI 54724-1921
Phone: (715) 581-5005
Fax: (715) 568-1501
Mailing address: 1706 York St Unit#3, Bloomer, WI 54724-1920

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Registry record

NPI: 1417492679
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Dec 2016
Record last updated: 6 Jan 2018

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.