ROBERT BLACK, RN

Registered Nurse

Active Individual
NPI: 1538434097

Practice Address

1169 BRODERICK RD
Omro, WI 54963

Phone: (240) 603-3648

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes 162432-30 (WI)

Frequently Asked Questions

NPI 1538434097 is the National Provider Identifier for ROBERT BLACK, RN, a Registered Nurse provider located in Omro, WI. This NPI was enumerated on March 16, 2012.
ROBERT BLACK, RN practices at 1169 BRODERICK RD, Omro, WI 54963.

Quick Facts

NPI
1538434097
Type
Individual
Enumerated
Mar 16, 2012
Last Updated
Mar 16, 2012

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