Individual
ROBERT P ROBERTS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
781 KENMOOR SE, GRAND RAPIDS, MI 49546-8624
(616) 726-1300
(616) 726-1302
Mailing address
781 KENMOOR SE, GRAND RAPIDS, MI 49546-8624
(616) 726-1300
(616) 726-1302
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301043739
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1868767
—
MI
Enumeration date
08/25/2006
Last updated
12/19/2012
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