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NPI Code Detail

MEDICARE: DR. ROBERT W NINNEMAN MD

MEDICARE:  DR. ROBERT W NINNEMAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician22477WI
2207RI0011XInterventional Cardiology Physician22477020WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881694743
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT W NINNEMAN MD
Provider Business Mailing Address
First Line : 19725 DAVIDSON RD
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045
Country : US
Telephone Number : 414-852-4845
Fax Number : 414-649-3551
Provider Business Practice Location Address
First Line : 19725 DAVIDSON RD
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045
Country : US
Telephone Number : 414-852-4845
Fax Number : 414-649-3551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 08/15/2024

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Directions to “ DR. ROBERT W NINNEMAN MD” Practice Location

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