Doctor Name: | MR. ROBERT MICHAEL NORMAN |
NPI Number: | 1114072113 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | PA10000127 |
Business Practice Address: | 100 Highline Dr East Wenatchee, WA - 988025341 |
Business Phone Number: | 5098840614 |
Business Fax Number: | |
Mailing Address: | 820 N Chelan Ave, WENATCHEE |
State: | WA |
Postal Code: | 988012028 |
Phone Number: | 5096638711 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 08/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA10000127 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |