Individual
DR. ROBERT H MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1229 E SEMINOLE ST, SPRINGFIELD, MO 65804-2227
(417) 829-4620
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R9282
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200338705
—
MO
01
—
26925
MO BLUE SHIELD
MO
01
—
81578
ARK BLUE SHIELD
AR
Enumeration date
02/15/2007
Last updated
05/09/2013
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