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Individual
DR. TIFFANY A ROBAK
Active
Individual
DR. TIFFANY A ROBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2022-0143
NM
207QS0010X
Sports Medicine (Family Medicine) Physician
125.075065
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/22/2019
Last updated
06/06/2024
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