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Individual
DR. ROBERT R ISACKSEN
Active
Individual
DR. ROBERT R ISACKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301069750
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114331
GREAT LAKES HLTH PLN
—
05
—
3358181-10
—
MI
01
—
3403903262
BCBS IND PIN
MI
01
—
340C910480
BCBS GRP PIN
MI
01
—
5735569
AETNA PIN
—
Enumeration date
06/14/2006
Last updated
11/27/2023
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