Robert Liedtke is a Family Medicine in Sussex, Wisconsin. Robert Liedtke practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Robert Liedtke is 1780657353. The last update date is 2023-06-01.
Robert Liedtke's current location address is N82w23422 Five Iron Way, Sussex, Wisconsin. You can contact this provider via phone number 4143356921. The mailing address for Robert Liedtke is N82w23422 Five Iron Way, Sussex, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Liedtke |
|---|---|
| Address | N82w23422 Five Iron Way, Sussex, Wisconsin |
| Phone Number | 4143356921 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780657353 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2023-06-01 |
Provider Mailing Address Detail
| Address | N82w23422 Five Iron Way |
|---|---|
| City | Sussex |
| State | Wisconsin (WI) |
| Post Code | 530891556 |
| Phone Number | 4143356921 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 38057 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32431700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert Liedtke by the Centers for Medicare & Medicaid Services?
The Robert Liedtke has been issued the NPI (National Provider Identifier) 1780657353 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Robert Liedtke?
The Robert Liedtke is situated at N82W23422 Five Iron Way, in the city of Sussex, state of WI, with the zip code 530891556.
What is Robert Liedtke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert Liedtke is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Robert Liedtke receive its 1780657353 assignment from the Centers for Medicare & Medicaid Services?
The Robert Liedtke was assigned its 1780657353 by the Centers for Medicare & Medicaid Services on 2006-02-13.
When was the information related to Robert Liedtke most recently updated or refreshed?
The details pertaining to the Robert Liedtke, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-06-01.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN