Male or Other

Dr. Robert J. Korenberg M.D.

Dermatology Physician in Missoula, MT(View on Map)

Full Name

Dr. Robert J Korenberg M.D.

NPI Number

1750382842

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/10/2005

Specialties

(Taxonomies)

Code

207N00000X

Primary Taxonomy

Yes

Licenses

State

Montana

License Number

4684

Contact
Information

Purpose

Mailing
Location

Address

801 YORK ST
1821 SOUTH AVE W STE 402

City

Manitowoc
Missoula

State

WI
MT

Postal Code

54220-4630
59801-6518

Country

US
US

Telephone Number

(920) 663-9008
(406) 543-8512

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

Robert.Korenberg@forefrontdermatology.emadirect.md

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

1821 South Ave W Ste 402Missoula, MT598016518US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/08/2023

Provider Address

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