Individual
WILLIAM MICHAEL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4099 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 491-1307
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5882
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01051657A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197004
BCBS - DEACONESS MARY ST
IN
01
—
000000197943
BC
IN
01
—
000000501009
BCBS - DEACONESS GATEWAY
IN
05
—
200026050
—
IN
05
—
405981960 PYE1
—
IL
05
—
64041361
—
KY
01
—
P00272899
MEDICARE RAILROAD-DEACONESS HOSP
IN
Enumeration date
10/19/2005
Last updated
01/26/2021
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