Individual
DR. ROBERT EDWARD MICHELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 GLASSON WAY, GRASS VALLEY, CA 95945-5723
(530) 274-6000
Mailing address
PO BOX 2414, GRASS VALLEY, CA 95945-2414
(530) 273-1914
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C36138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00361380
—
CA
Enumeration date
01/04/2007
Last updated
05/20/2008
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