Individual
MR. JOHN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
863 N PINE RD STE F, ESSEXVILLE, MI 48732-2159
(989) 895-8514
(989) 895-8516
Mailing address
PO BOX 70, ESSEXVILLE, MI 48732-0070
(989) 895-8514
(989) 895-8516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003125
MI
Other
Enumeration date
07/07/2006
Last updated
07/15/2019
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