Robert Bottalla

NPI 1326781519 · on the registry since 2022

Practice

Address: 7101 N Green Bay Ave
Glendale, WI 53209
Phone: (414) 288-6187
Organisation at this address: Ssail Center Inc
Elements Of Health Llc
Meadowbrook Counseling Of Wisconsin, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin