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Individual

DR. ROBIN L ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2178 FORT ST, LINCOLN PARK, MI 48146-2405
(313) 388-9693
(313) 383-7295
Mailing address
1409 WILSON AVE, LINCOLN PARK, MI 48146-2038
(313) 595-9376

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008741
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7323599
CIGNA PROVIDER #
MI
01
95 0 H2 1922 0
BCBS PROVIDER #
MI
Enumeration date
01/12/2007
Last updated
07/08/2007
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