Individual provider · NPI-1

Robert J Beaumont, D.O.

Family Medicine · Waukesha, WI

NPI number1710971668
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1710971668
Entity type
Individual (NPI-1)
Name
Robert J Beaumont
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 7, 2005
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine17613WIYes

Practice location

237 Wisconsin Ave
Waukesha, WI 53186-4955

Phone 262-542-5557 · Fax 262-542-6199

Mailing address

237 Wisconsin Ave
Waukesha, WI 53186-4955

Phone 262-542-5557 · Fax 262-542-6199

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