Robert R Broeckert (NPI# 1750308649, PAC ID# 6103901285) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED AUDIOLOGIST.
Nation Provider ID (NPI) | 1750308649 |
PAC ID by PECOS | 6103901285 |
Professional Enrollment ID | I20080313000353 |
Full Name | Robert R Broeckert |
Address |
1039 W Mason St Green Bay WI 54304-1842 |
Gender | M |
Graduation Year | 1989 |
Primary Specialty | QUALIFIED AUDIOLOGIST |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4650 W Spencer St, Suite 31, Appleton, WI 54914-9106 | ||
1039 W Mason St, Green Bay, WI 54304-1842 |
Street Address |
1039 W MASON ST |
City | GREEN BAY |
State | WI |
Zip | 54304-1842 |
Name | Specialty | Organization | Address |
---|---|---|---|
Vanessa Blanchette | Clinical Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | |
Lindsay A Carmody | Nurse Practitioner | Life Line Community Healthcare | 1039 W Mason St, Green Bay, WI 54303-1842 |
Bridget E Harcus-wickersham | Nurse Practitioner | Life Line Community Healthcare | 1039 W Mason St, Green Bay, WI 54303-1842 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael P Sayers | Psychologist, Clinical | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
Rebecca M Krueger | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
Sangita A Patel | Psychiatry | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
Veeranagouda A Patil | Psychiatry | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
Eusebio G Hernandez | Psychiatry | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
Rhonda K Huhtala | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
Mary Beth King | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
David M Danby | Family Medicine | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
Monique L Gore | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
Lisa Shaw | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
Find all physicians in zip 54304 |
City | GREEN BAY |
Zip Code | 54304 |
Specialty | QUALIFIED AUDIOLOGIST |
City + Specialty | GREEN BAY + QUALIFIED AUDIOLOGIST |
Please comment or provide details below to improve the information on Robert R Broeckert.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.