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Contact Information

ROBERT RANDOLPH
4200 N HOLTON ST STE 110
MILWAUKEE, WI53212-1065
 Phone: 414-899-6838
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Perinatal

163WP1700X
Indicates primary specialty

NPI Profile & details for ROBERT RANDOLPH · (Male)

NPI Number 1700337979
Status Active
Credentials
Entity Individual
Enumeration date 10/21/2016
Last updated 10/21/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 163WP1700X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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