Organization
ROBERTS DERMATOLOGY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK WILLIAM ROBERTS D.O. (PRESIDENT)
(810) 245-7766
Entity
Organization
Contact information
Practice address
3273 DAVISON RD STE 5, LAPEER, MI 48446-4306
(810) 245-7766
(810) 245-6216
Mailing address
3273 DAVISON RD STE 5, LAPEER, MI 48446-4306
(810) 245-7766
(810) 245-6216
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101010293
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4115633
—
MI
Enumeration date
05/08/2007
Last updated
03/06/2008
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