Individual
ROBERT PATRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26020 HARPER AVE, SAINT CLAIR SHORES, MI 48081-3773
(586) 775-1910
(586) 775-8387
Mailing address
26020 HARPER AVE, SAINT CLAIR SHORES, MI 48081-3773
(586) 775-1910
(586) 775-8387
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
RP001617
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2920950
—
MI
01
—
485505061
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/30/2006
Last updated
03/02/2022
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