Organization
ROBERT G MUTCH DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G MUTCH DO (PHYSICIAN/PRESIDENT)
(989) 635-4023
Entity
Organization
Contact information
Practice address
2750 MAIN ST, SUITE 3, MARLETTE, MI 48453-1100
(989) 635-4023
(989) 635-5297
Mailing address
2750 MAIN ST, SUITE 3, MARLETTE, MI 48453-1100
(989) 635-4023
(989) 635-5297
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101013139
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1657615375
BCBS PROVIDER NUMBER
—
05
—
4531773
—
MI
Enumeration date
01/07/2008
Last updated
01/07/2008
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