# ROBERT P ROBERTS JR MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ROBERT P ROBERTS JR MD PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609081819
- **Authorized official:** DR. ROBERT P ROBERTS JR. (PHYSICIAN)
- **Authorized official phone:** (616) 726-1300

## Contact information

- **Practice address:** 781 KENMOOR AVE SE, GRAND RAPIDS, MI 49546-8628
- **Practice address phone:** (616) 726-1300
- **Practice address fax:** (616) 726-1302
- **Mailing address:** 781 KENMOOR AVE SE, GRAND RAPIDS, MI 49546-8628
- **Mailing address phone:** (616) 726-1300
- **Mailing address fax:** (616) 726-1302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | RR043739 | MI | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 01/05/2011