Provider Demographics
NPI:1790791713
Name:ROBBINS, STEPHEN ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ERIC
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:575 W RIVER WOODS PKWY
Mailing Address - Street 2:STE 305
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212
Mailing Address - Country:US
Mailing Address - Phone:414-961-2225
Mailing Address - Fax:414-961-0298
Practice Address - Street 1:525 W RIVER WOODS PKWY
Practice Address - Street 2:STE 130
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53212
Practice Address - Country:US
Practice Address - Phone:414-249-2422
Practice Address - Fax:414-961-0298
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2021-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI25408207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
000002306Medicare ID - Type Unspecified
B56085Medicare UPIN