Individual
ROBERT DOUGLAS KENEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17610 KINGSBROOKE CIR APT 101, CLINTON TOWNSHIP, MI 48038-3783
(586) 412-6906
Mailing address
17610 KINGSBROOKE CIR APT 101, CLINTON TOWNSHIP, MI 48038-3783
(586) 412-6906
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101013786
MI
Other
Enumeration date
12/29/2007
Last updated
12/29/2007
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