Individual
ROBERT MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 MACK AVE FL 5, DETROIT, MI 48201-2466
(313) 832-0500
Mailing address
23550 PARK ST, SUITE 100, DEARBORN, MI 48124-2592
(313) 730-0500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301070950
MI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
4301070950
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4909872
—
MI
Enumeration date
06/03/2006
Last updated
12/12/2019
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