Robert Joseph Kanke is a Dentist in Antigo, Wisconsin. Robert Joseph Kanke practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert Joseph Kanke is 1891810198. The last update date is 2007-07-08.
Robert Joseph Kanke's current location address is 2010 Progress Blvd, Antigo, Wisconsin. You can contact this provider via phone number 7156237221 and fax number 7156274548. The mailing address for Robert Joseph Kanke is 2010 Progress Blvd, Antigo, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Joseph Kanke |
|---|---|
| Address | 2010 Progress Blvd, Antigo, Wisconsin |
| Phone Number | 7156237221 |
| Fax Number | 7156274548 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1891810198 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2010 Progress Blvd |
|---|---|
| City | Antigo |
| State | Wisconsin (WI) |
| Post Code | 544092475 |
| Phone Number | 7156237221 |
| Fax Number | 7156274548 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2480 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33407700 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Joseph Kanke by the Centers for Medicare & Medicaid Services (CMS)?
The Robert Joseph Kanke has been assigned the NPI (National Provider Identifier) 1891810198. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Robert Joseph Kanke is physically located?
The Robert Joseph Kanke is situated at the following address: 2010 Progress Blvd, Antigo, WI 544092475.
What is Robert Joseph Kanke's area of expertise and its corresponding taxonomy classification?
The Robert Joseph Kanke's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891810198 to Robert Joseph Kanke?
The Centers for Medicare & Medicaid Services originally issued the 1891810198 to Robert Joseph Kanke on 2007-03-19.
When was the Robert Joseph Kanke's information last updated?
The Robert Joseph Kanke's information was last updated on 2007-07-08.
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