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Individual

ROBERT SOLOMON ISSAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
44200 WOODWARD AVE STE 112, PONTIAC, MI 48341-5046
(248) 384-8100
(248) 384-8101
Mailing address
5701 BOW POINTE DR STE 100, CLARKSTON, MI 48346-3199
(248) 625-2621
(248) 625-2622

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704272827
MI

Other

Enumeration date
12/07/2016
Last updated
01/31/2025
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