Wampler, Robert Elwood

Wampler, Robert Elwood is an individual health care provider with primary practice located at 3860 Monroe Rd , De Pere WI 54115-8399. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Wampler, Robert Elwood can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
3860 Monroe Rd De Pere WI 54115-8399
Phone: (920) 496-4700
Fax: (920) 431-1950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21100 Wisconsin
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 21100-020 Wisconsin

Profile Details

NPI number 1184659724
LBN Legal business name Wampler, Robert Elwood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Aug 21st, 2012 - about 12 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 1184659724 NPPES
Wisconsin MEDICAID 30120500

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