Individual
DR. MICHAEL ANTHONY ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6402 GARRISON CT, FORT COLLINS, CO 80528-7064
(360) 608-1734
Mailing address
6402 GARRISON CT, FORT COLLINS, CO 80528-7064
(360) 608-1734
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
11871
TX
111N00000X
Chiropractor
Primary
CHR.0008688
CO
111NR0400X
Rehabilitation Chiropractor
EL.2787472
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3964RO
RGENCE BLUE CROSS/BLUE SH
WA
01
—
5690577
AETNA PROVIDER #
WA
01
—
653147
ACN
WA
Enumeration date
06/13/2005
Last updated
07/28/2023
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