MEDICARE: ROBURRY INC.

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
1	247200000X	Other Technician

General Provider Information

NPI Number	:	1861500878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBURRY INC.

Provider Business Mailing Address
First Line	:	3807 SUNBURST RD
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53718-6216
Country	:	US
Telephone Number	:	608-513-0629
Fax Number	:

Provider Business Practice Location Address
First Line	:	3807 SUNBURST RD
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53718-6216
Country	:	US
Telephone Number	:	608-513-0629
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARANDITA M MURRY
Credential	:
Telephone Number	:	608-576-4532

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	08/22/2020

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