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Gabriel Enzy Robinson
Meals Provider in Pewaukee, Wisconsin
NPI 1356047476

Gabriel Enzy Robinson is a Meals Provider based in Pewaukee, WI. Gabriel Enzy Robinson practices in Pewaukee, WI. The NPI Number for Gabriel Enzy Robinson is 1356047476 and holds a License No. WI035621801698 (Wisconsin).

The current practice location address for Gabriel Enzy Robinson is 1302 Sunnyridge Rd Apt 2, Pewaukee, WI and can be reached out via phone at 262-744-5789.

Location: 1302 Sunnyridge Rd Apt 2, Pewaukee, WI, 53072-3893
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356047476
Provider Name
Gabriel Enzy Robinson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1302 Sunnyridge Rd Apt 2, Pewaukee, WI, 53072-3893
Phone Number
262-744-5789
Fax Number
Provider Enumeration Date
01/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1302 Sunnyridge Rd Apt 2
City
Pewaukee
State
Wisconsin
Zip
53072-3893
Phone Number
262-744-5789
Fax Number
person
Provider Business Mailing Address Details
Address
1302 Sunnyridge Rd Apt 2
City
Pewaukee
State
Wisconsin
Zip
53072-3893
Phone Number
262-744-5789
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Meals
Speciality
-
Taxonomy
174200000X
License No.
WI035621801698 (Wisconsin)
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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