Individual
ROBERT L OSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4660 SOUTH HAGADORN ROAD, SUITE 600, EAST LANSING, MI 48823
(517) 267-2460
(517) 267-2462
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301044284
MI
208600000X
Surgery Physician
53946
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203910771
BCBS
—
05
—
1467421693
—
MI
01
—
450030760
MEDICARE PTAN
WI
01
—
711290156
MEDICARE PTAN
WI
Enumeration date
03/17/2006
Last updated
11/27/2023
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