Wiedbusch, Robert

Wiedbusch, Robert is an individual health care provider with primary practice located at 3501 Golf Road , Eau Claire WI 54701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wiedbusch, Robert can be contacted via phone (715) 858-4200.

Contact Information

Primary practice address
3501 Golf Road Eau Claire WI 54701
Phone: (715) 858-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42861 Wisconsin

Profile Details

NPI number 1447345723
LBN Legal business name Wiedbusch, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1447345723 NPPES
Wisconsin MEDICAID 34035100

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