Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 73227 | WI |
N | 207RR0500X | Rheumatology | R7C75 | MO |
NPI | 1134200934 |
---|---|
Provider Name | Dr. Robert C Uchiyama |
First Address | Eau Claire, WI 54702-1510 |
Second Address | Onalaska, WI 54650-8679 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 15/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A10338 | (02) | MO |