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Organization
R STEWART ROBERTSON MD PLLC
Active
Organization
R STEWART ROBERTSON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT STEWART ROBERTSON M.D. (OWNER/PRESIDENT)
(248) 404-9545
Entity
Organization
Contact information
Practice address
755 W BIG BEAVER RD, SUITE 231B, TROY, MI 48084-4900
(248) 404-9545
(248) 362-6157
Mailing address
755 W BIG BEAVER RD, SUITE 231B, TROY, MI 48084-4900
(248) 404-9545
(248) 362-6157
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
034679
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4523539
—
MI
01
—
P00061983
MEDICARE RAILROAD
MI
Enumeration date
12/05/2007
Last updated
01/22/2008
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