Individual provider · Type 1 NPI

Etta Dean Robertson

Driver · Milwaukee, WI

NPI number 1285306100 Active

Practice location

3100 N 75th St
Milwaukee, WI 53216-2742

Call (414) 793-6595 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XR1632048689103 (WI)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1285306100

Etta Dean Robertson's National Provider Identifier is 1285306100, issued on Sep 29, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 29, 2021.