Individual
DEQUAN ALEXANDER ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 RENAISSANCE CTR # 2600, DETROIT, MI 48243-1502
(855) 832-6727
Mailing address
400 RENAISSANCE CTR # 2600, DETROIT, MI 48243-1502
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
05/03/2021
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