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NPI Code Detail

MEDICARE: NATALIE A ROBERTS DO

MEDICARE: NATALIE A ROBERTS DO
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
1207R00000XInternal Medicine Physician46582-021WI

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 : 1740231174
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE A ROBERTS DO
Provider Business Mailing Address
First Line : 500 S OAKWOOD RD
Second Line :
City : OSHKOSH
State : WI
Zip : 54904-7944
Country : US
Telephone Number : 920-223-0275
Fax Number :
Provider Business Practice Location Address
First Line : 500 S OAKWOOD RD
Second Line :
City : OSHKOSH
State : WI
Zip : 54904-7944
Country : US
Telephone Number : 920-223-0275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 11/05/2008

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