Organization
ROBERT J. EGAN, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOSEPH EGAN M.D. (MANAGER)
(313) 549-3149
Entity
Organization
Contact information
Practice address
1310 NICOLET PL, DETROIT, MI 48207-2838
(313) 549-3149
Mailing address
1310 NICOLET PL, DETROIT, MI 48207-2838
(313) 549-3149
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OH28008 003
—
MI
Enumeration date
12/05/2014
Last updated
05/05/2024
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