Individual
ROBERT J EASTWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1212 E SHERMAN BLVD, MUSKEGON, MI 49444-1879
(231) 672-3500
(231) 672-6199
Mailing address
55 ARTHUR ST, MANISTEE, MI 49660-1101
(231) 727-4444
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101020800
MI
207RI0011X
Interventional Cardiology Physician
3400-2367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0278686
—
OH
Enumeration date
07/07/2005
Last updated
09/01/2016
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