Robert R Maslonkowski, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Chippewa FLS, WI
NPI 1023126331 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1023126331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 34003 (WI)
- Practice address
- 2655 Cty Hwy I
Chippewa FLS, WI 54729 - Phone
- (715) 726-4160
- NPI assigned
- Aug 27, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34003 | WI | Yes |
Addresses
Primary practice location
2655 Cty Hwy I
Chippewa FLS, WI 54729
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31899000 | Medicaid | WI |
Other providers in Chippewa FLS, WI
- Sara O Cochrane
- Leslie P Harrison
- Nancy J Huebler
- Michael John Knitter
- Dennis Kuchenbecker
- Kathryn K Schaus
- Gregg L Willkom
- Margaret A Zander
All providers in Chippewa FLS, WI · Obstetrics & Gynecology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.