Individual
DAVID ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3991 DUTCHMANS LN STE 310, LOUISVILLE, KY 40207-4716
(502) 899-6782
(502) 899-6783
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01065212A
IN
2084N0400X
Neurology Physician
Primary
48322
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200898260
—
IN
01
—
48322
STATE LICENSE
KY
05
—
7100099880
—
KY
Enumeration date
01/04/2007
Last updated
08/07/2024
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