Sonnenburg Jr, Robert Elmer

Sonnenburg Jr, Robert Elmer is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Sonnenburg Jr, Robert Elmer can be contacted via phone (920) 288-8230.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311-6519
Phone: (920) 288-8230
Fax: (920) 288-8235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 47907020 Wisconsin

Profile Details

NPI number 1972588176
LBN Legal business name Sonnenburg Jr, Robert Elmer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Apr 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972588176 NPPES
Michigan MEDICAID 4728376
Michigan MEDICAID 4728367
Michigan MEDICAID 34628100
Michigan MEDICAID 4728385

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