# ROBERT S. ROBITAILLE DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285797944
- **Authorized official:** ROBERT S ROBITAILLE DO (OWNER)
- **Authorized official phone:** (651) 232-2036

## Contact information

- **Practice address:** 559 CAPITOL BLVD, SAINT PAUL, MN 55103-2101
- **Practice address phone:** (651) 232-2036
- **Practice address fax:** (507) 354-2536
- **Mailing address:** PO BOX 1467, BURNSVILLE, MN 55337-0467
- **Mailing address phone:** (651) 232-2036
- **Mailing address fax:** (507) 387-7368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 46841 | MN | Yes |

## Other

- **Enumeration date:** 12/17/2006
- **Last updated:** 03/29/2011