Individual
MADONNA ROBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
26411 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-4528
(313) 350-4507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704249394
MI
Other
Enumeration date
01/10/2019
Last updated
06/06/2023
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