# ROBERT G MUTCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962434712
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 5101013139 | MI | — |
| 207V00000X | Obstetrics & Gynecology Physician | OS16256 | FL | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 12/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4531773 | — | MI |
| 05 | — | 4568586 | — | MI |
| 05 | — | 4831808 | — | MI |