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Robert Wayne Burris JR.
Driver in Brown Deer, Wisconsin
NPI 1760154389

Robert Wayne Burris JR. is a Driver based in Brown Deer, WI. Robert Wayne Burris JR. practices in Brown Deer, WI. The NPI Number for Robert Wayne Burris JR. is 1760154389 and holds a License No. B620-7797-3121-06 (Wisconsin).

The current practice location address for Robert Wayne Burris JR. is 8055 N 65Th St, Brown Deer, WI and can be reached out via phone at 414-881-1858.

Location: 8055 N 65Th St, Brown Deer, WI, 53223-3408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760154389
Provider Name
Robert Wayne Burris JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
8055 N 65Th St, Brown Deer, WI, 53223-3408
Phone Number
414-881-1858
Fax Number
Provider Enumeration Date
10/01/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100008887 05 WI
institution
Provider Business Practice Location Address Details
Address
8055 N 65Th St
City
Brown Deer
State
Wisconsin
Zip
53223-3408
Phone Number
414-881-1858
Fax Number
person
Provider Business Mailing Address Details
Address
8055 N 65Th St
City
Brown Deer
State
Wisconsin
Zip
53223-3408
Phone Number
414-881-1858
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
B620-7797-3121-06 (Wisconsin)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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