Individual
AGNES WROBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3535 W 13 MILE RD, ROYAL OAK, MI 48073-6770
(248) 551-1200
(248) 551-1249
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1848
(248) 551-1249
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301075225
MI
2084P0802X
Addiction Psychiatry Physician
4301075225
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F349850
BCBSM
MI
05
—
1013077885
—
MI
01
—
AW075225
CHAMPUS-CHAMPUS
—
Enumeration date
12/11/2006
Last updated
06/11/2024
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