Healthcare Provider Details

I. General information

NPI: 1861500878
Provider Name (Legal Business Name): ROBURRY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 SUNBURST RD
MADISON WI
53718-6216
US

IV. Provider business mailing address

3807 SUNBURST RD
MADISON WI
53718-6216
US

V. Phone/Fax

Practice location:
  • Phone: 608-513-0629
  • Fax:
Mailing address:
  • Phone: 608-513-0629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: MARANDITA M MURRY
Title or Position: OWNER
Credential:
Phone: 608-576-4532