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Individual

GARY J ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
(906) 774-5390
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 774-1313
(906) 776-5639

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301032254
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200022749
RR MEDICARE
MI
01
2002201181
BCBS MI
MI
05
2861626
MI
05
30128200
WI
Enumeration date
11/30/2005
Last updated
03/05/2019
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