Provider Demographics
NPI:1003072687
Name:SEDLACEK, ROBERT WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WILLIAM
Last Name:SEDLACEK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3 NEENAH CENTER
Mailing Address - Street 2:101 N COMMERCIAL ST
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-3070
Mailing Address - Country:US
Mailing Address - Phone:920-454-4082
Mailing Address - Fax:920-830-5910
Practice Address - Street 1:710 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:WAUPACA
Practice Address - State:WI
Practice Address - Zip Code:54981-1941
Practice Address - Country:US
Practice Address - Phone:715-256-3000
Practice Address - Fax:715-256-3028
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2025-11-06
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Provider Licenses
StateLicense IDTaxonomies
IL125.054488207Q00000X
WI56001-020207Q00000X
IL036.126371207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine