Southwick, Robert David

Southwick, Robert David is an individual health care provider with primary practice located at 2253 W Mason St , Green Bay WI 54303-4706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Southwick, Robert David can be contacted via phone (920) 327-7300.

Contact Information

Primary practice address
2253 W Mason St Green Bay WI 54303-4706
Phone: (920) 327-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 37060 Wisconsin

Profile Details

NPI number 1417975087
LBN Legal business name Southwick, Robert David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 24th, 2021 - about 3 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 1417975087 NPPES
Wisconsin MEDICAID 32424200

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