Individual
KYLE DAVID ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11885 E 12 MILE RD STE 300A, WARREN, MI 48093-3467
(586) 582-6630
(586) 582-6631
Mailing address
11885 E 12 MILE RD STE 300A, WARREN, MI 48093-3467
(586) 582-6630
(586) 582-6631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101021064
MI
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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