Organization
ROBERT J SELEDOTIS DO PC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOHN SELEDOTIS D.O. (OWNER/PRESIDENT)
(616) 454-9246
Entity
Organization
Contact information
Practice address
847 PARCHMENT DR SE STE 125, GRAND RAPIDS, MI 49546-8623
(616) 454-9246
(616) 454-6839
Mailing address
PO BOX 3140, GRAND RAPIDS, MI 49501-3140
(616) 454-9246
(616) 454-6839
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
08/02/2006
Last updated
04/10/2019
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