Individual
DR. AMY DENISE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
(231) 922-9271
Mailing address
PO BOX 107, TRAVERSE CITY, MI 49685-0107
(231) 922-9270
(231) 922-9271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2002-00067
NC
207R00000X
Internal Medicine Physician
Primary
4301097465
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913128
—
NC
Enumeration date
08/23/2005
Last updated
09/17/2010
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