Provider Demographics
NPI:1821168600
Name:PAPENDICK, ROBBIN ELIZABETH (DO, MPH)
Entity Type:Individual
Prefix:
First Name:ROBBIN
Middle Name:ELIZABETH
Last Name:PAPENDICK
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1452
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53008-1452
Mailing Address - Country:US
Mailing Address - Phone:262-790-0272
Mailing Address - Fax:262-790-0277
Practice Address - Street 1:18945 DANBURY CT
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-8163
Practice Address - Country:US
Practice Address - Phone:262-790-0272
Practice Address - Fax:262-790-0277
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI28686-0212083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIE55586Medicare UPIN