Individual
DR. ROBERT R ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33200 W 14 MILE RD, STE 130, WEST BLOOMFIELD, MI 48322-3549
(248) 855-4144
(248) 855-9158
Mailing address
33200 W 14 MILE RD, STE 130, WEST BLOOMFIELD, MI 48322-3549
(248) 855-4144
(248) 855-9158
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301036693
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115779
—
MI
01
—
3506316331
BLUE CROSS BLUE SHIELD
MI
01
—
F13738
HAP
MI
Enumeration date
12/09/2005
Last updated
06/03/2008
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