Provider Demographics
NPI:1699714832
Name:HOLDEFER, ROBERT N (PHD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:N
Last Name:HOLDEFER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8832 N PORT WASHINGTON RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-1628
Mailing Address - Country:US
Mailing Address - Phone:414-351-6666
Mailing Address - Fax:414-351-6999
Practice Address - Street 1:8832 N PORT WASHINGTON RD
Practice Address - Street 2:SUITE 240
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53217-1628
Practice Address - Country:US
Practice Address - Phone:414-351-6666
Practice Address - Fax:414-351-6999
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic