Healthcare Provider Details

I. General information

NPI: 1770624629
Provider Name (Legal Business Name): ALICE A ROBINSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 03/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N MAYFAIR RD
MILWAUKEE WI
53226-4216
US

IV. Provider business mailing address

201 N MAYFAIR RD
MILWAUKEE WI
53226-4216
US

V. Phone/Fax

Practice location:
  • Phone: 414-259-7480
  • Fax: 414-259-7481
Mailing address:
  • Phone: 414-259-7480
  • Fax: 414-259-7481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number46462
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number43716
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number60999
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: