# ROBERT J CARDWELL MD PLLC

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

## Provider details

- **NPI number:** 1508122995
- **Authorized official:** DR. ROBERT J CARDWELL MD (PRESIDENT)
- **Authorized official phone:** (586) 381-0410

## Contact information

- **Practice address:** 13312 TERRY DR, SHELBY TOWNSHIP, MI 48315-5365
- **Practice address phone:** (586) 381-0410
- **Practice address fax:** (586) 754-2558
- **Mailing address:** 13312 TERRY DR, SHELBY TOWNSHIP, MI 48315-5365
- **Mailing address phone:** (586) 381-0410
- **Mailing address fax:** (586) 754-2558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 4301071480 | MI | Yes |

## Other

- **Enumeration date:** 04/10/2012
- **Last updated:** 04/10/2012
