Provider Demographics
NPI:1689890667
Name:ROBINSON, JAMES K II (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:K
Last Name:ROBINSON
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W5238 JOLLY AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:WI
Mailing Address - Zip Code:54451-9303
Mailing Address - Country:US
Mailing Address - Phone:715-748-5668
Mailing Address - Fax:
Practice Address - Street 1:W5238 JOLLY AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:WI
Practice Address - Zip Code:54451-9303
Practice Address - Country:US
Practice Address - Phone:715-748-5668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16043207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI16043OtherSTATE MEDICAL LICENSE
WI16043OtherSTATE MEDICAL LICENSE