Individual
ROBERTO A CORPUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3865 W FRONT ST STE 4AND5, TRAVERSE CITY, MI 49684-8101
(231) 252-0414
(231) 252-0416
Mailing address
3865 W FRONT ST STE 4AND5, TRAVERSE CITY, MI 49684-8101
(231) 252-0414
(231) 252-0416
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301073600
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060B86046
GROUP BLUE SHIELD NUMBER
MI
05
—
4610699
—
MI
Enumeration date
06/03/2006
Last updated
07/14/2025
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