Provider Demographics
NPI:1023052321
Name:ROBINSON, WILLIAM RYAN (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RYAN
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7217 HACKBERRY CT
Mailing Address - Street 2:
Mailing Address - City:FRANKSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53126-9417
Mailing Address - Country:US
Mailing Address - Phone:262-886-6988
Mailing Address - Fax:
Practice Address - Street 1:7217 HACKBERRY CT
Practice Address - Street 2:
Practice Address - City:FRANKSVILLE
Practice Address - State:WI
Practice Address - Zip Code:53126-9417
Practice Address - Country:US
Practice Address - Phone:262-886-6988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0434063207P00000X
WI46982-020207P00000X
PAMD424487207P00000X
HIMD-13070207P00000X
MN47450207P00000X
MA223467207P00000X
RIMD11814207P00000X
OR38538207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200633100AMedicaid
WI029050153Medicare PIN
WII16352Medicare UPIN
KSKA1209007Medicare PIN
WI014730095Medicare PIN