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Individual

ROBERT B ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
44555 WOODWARD AVE, SUITE 501, PONTIAC, MI 48341
(248) 338-7171
(248) 858-3830
Mailing address
44555 WOODWARD AVE, SUITE 501, PONTIAC, MI 48341
(248) 338-7171
(248) 858-3830

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301064306
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0206333282
BCBSM
05
4093830
MI
01
RR057856
STATE LICENSE
Enumeration date
10/17/2006
Last updated
12/11/2013
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