Meredith, Robert L

Meredith, Robert L is an individual health care provider with primary practice located at 835 S Van Buren St , Green Bay WI 54301-3526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, which is considered as his primary health care specialty. Meredith, Robert L can be contacted via phone (920) 433-8180.

Contact Information

Primary practice address
835 S Van Buren St Green Bay WI 54301-3526
Phone: (920) 433-8180
Fax: (920) 431-3245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy 207UN0902X 34542 Wisconsin

Profile Details

NPI number 1497797484
LBN Legal business name Meredith, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 13th, 2008 - about 17 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 1497797484 NPPES
Michigan Other 104455742 MICHIGAN MED ASSISTANCE
Michigan MEDICAID 32422700 MICHIGAN MED ASSISTANCE
Michigan Other 360004256 MICHIGAN MED ASSISTANCE

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