Dries, Robert Michael

Dries, Robert Michael is an individual health care provider with primary practice located at 8112 W Bluemound Rd Ste 106, Wauwatosa WI 53213-3356. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dries, Robert Michael can be contacted via phone (414) 258-6813.

Contact Information

Primary practice address
8112 W Bluemound Rd Ste 106 Wauwatosa WI 53213-3356
Phone: (414) 258-6813
Fax: (414) 431-1071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0593 Wisconsin

Profile Details

NPI number 1639112931
LBN Legal business name Dries, Robert Michael
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639112931 NPPES
Wisconsin MEDICAID 39053100

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