Wells, Robert G

Wells, Robert G is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Suite 355, Milwaukee WI 53215-3669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wells, Robert G can be contacted via phone (414) 649-6430.

Contact Information

Primary practice address
2801 W Kinnickinnic River Pkwy Suite 355 Milwaukee WI 53215-3669
Phone: (414) 649-6430
Fax: (414) 649-5563
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME 104663 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 23901 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 27019 Oklahoma
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036.098953 Illinois

Profile Details

NPI number 1376592832
LBN Legal business name Wells, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 23rd, 2019 - about 5 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 1376592832 NPPES
Illinois Other 202926 GROUP PTAN
Illinois MEDICAID 313-96200 GROUP PTAN
Illinois MEDICAID 036098953 GROUP PTAN

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