Provider Demographics
NPI:1891446647
Name:WRIGHT, ROBIN K
Entity type:Individual
Prefix:MISS
First Name:ROBIN
Middle Name:K
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2329 N RICHARDS ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-3321
Mailing Address - Country:US
Mailing Address - Phone:414-265-9238
Mailing Address - Fax:414-264-5787
Practice Address - Street 1:2329 N RICHARDS ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-3321
Practice Address - Country:US
Practice Address - Phone:414-265-9238
Practice Address - Fax:414-264-5787
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service