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Individual

DR. MICHAEL A. ROBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
10176 BALTIMORE NATIONAL PIKE, SUITE 113, ELLICOTT CITY, MD 21042
(410) 461-7012
(410) 461-7009
Mailing address
10176 BALTIMORE NATIONAL PIKE, SUITE 113, ELLICOTT CITY, MD 21042
(410) 461-7012
(410) 461-7009

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA 0893
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111333
EYEMED
01
209Q
MEDICARE
01
755
BALTIMORE CITY VISION CAR
Enumeration date
01/30/2007
Last updated
02/06/2013
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