Robert Defatta, MD, PH D, FACS

NPI 1578697520 · on the registry since 2007

Practice

Address: 1490 Rivers Edge Trail
Altoona, WI 54720
Phone: (715) 828-2368
Organisation at this address: Defatta Ent & Facial Plastic Surgery Sc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 207Y00000X
207Y00000X
Also registered as: 207Y00000X
207YP0228X
207YP0228X
207YS0012X
207YS0012X
207YS0123X
207YS0123X
207YX0007X
207YX0007X
207YX0602X
207YX0602X
207YX0901X
207YX0901X
207YX0905X
Licence states on file: NY, WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-12-20

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