Provider Demographics
NPI:1942696000
Name:DWAN, ROBYN LYNN (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:LYNN
Last Name:DWAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:L
Other - Last Name:GORSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:ROBYN L. DAWN, D.O.
Mailing Address - Street 2:225 S EXECUTIVE DRIVE
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-4257
Mailing Address - Country:US
Mailing Address - Phone:262-787-4050
Mailing Address - Fax:262-439-7683
Practice Address - Street 1:725 S. AMERICAN AVENUE
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-5031
Practice Address - Country:US
Practice Address - Phone:262-544-2011
Practice Address - Fax:262-439-7683
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI66951-21207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology