Organization
ROBERT J. EGAN, M.D., PLLC
Active
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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