Individual provider · Type 1 NPI
Robert MC Roberts Jr., C.PED
Pedorthist · Bloomer, WI
NPI number
1417492679
Active
Practice location
1706 York St Ste 3
Bloomer, WI 54724-1921
Fax (715) 568-1501
Mailing address
1706 York St, UNIT#3
Bloomer, WI 54724-1920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pedorthist Primary | 224L00000X | None listed |
Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
About NPI 1417492679
Robert MC Roberts Jr., C.PED's National Provider Identifier is 1417492679, issued on Dec 27, 2016. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Bloomer, WI. The record was last updated on Jan 6, 2018.