Individual
MICHAEL WESLEY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201
(573) 443-2402
(573) 443-0574
Mailing address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2014005593
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008016713
MEDICAL LICENSE
MO
Enumeration date
06/26/2008
Last updated
03/17/2025
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