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1043287980
MICHAEL ROBIN ELLEN
MOUNT PLEASANT, WI
NPI
1043287980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WI 83995)
Additional Taxonomies
208800000X Urology
(Licence: WA MD00026526)
Enumeration Date
2006-02-28
Last Update Date
2024-10-18
Business Address
MICHAEL ROBIN ELLEN M.D.
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406-3735
Phone number: 262-884-4000
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Mailing Address
MICHAEL ROBIN ELLEN M.D.
PO BOX 735044
CHICAGO, IL 60673-0544
Phone number: 800-326-2250
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