Individual
DR. ENID ALISON ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33497 23 MILE RD, STE. 160, CHESTERFIELD, MI 48047-4062
(586) 716-1702
(586) 716-1706
Mailing address
PO BOX 99251, TROY, MI 48099-9251
(586) 716-1702
(586) 716-1706
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301057945
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147471
—
MI
01
—
1605015412
FEDERAL BLUE CROSS
MA
01
—
1605015412
BLUE CARE NETWORK
MI
01
—
371495697
PPOM
MI
05
—
4697180
—
MI
01
—
G35259
HAP
MI
Enumeration date
07/25/2006
Last updated
10/09/2008
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