DR. Richard W Theobald, MD

NPI #1952418063 in Two Rivers, Wisconsin

Provider Information

NPI Number: 1952418063
Entity Type: Individual
Name: DR. Richard W Theobald, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 24, 2006
Last Updated: Jun 3, 2024

Practice Location

Address: 5300 MEMORIAL DR
City: Two Rivers
State: Wisconsin
ZIP Code: 54241-3923
Phone: (920) 793-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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