Individual provider · Type 1 NPI
Gabriel Enzy Robinson
Meals Provider · Pewaukee, WI
NPI number
1356047476
Active
Practice location
1302 Sunnyridge Rd Apt 2
Pewaukee, WI 53072-3893
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider Primary | 174200000X | WI035621801698 (WI) |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1356047476
Gabriel Enzy Robinson's National Provider Identifier is 1356047476, issued on Jan 31, 2023. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Pewaukee, WI. The record was last updated on Jan 31, 2023.