Individual
DR. ROBERT WAYNE IVESON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
382 E CHICAGO ST, COLDWATER, MI 49036-2062
(517) 278-7269
Mailing address
382 E CHICAGO ST, COLDWATER, MI 49036-2062
(517) 812-9280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022205
MI
Other
Enumeration date
06/18/2017
Last updated
12/05/2018
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