Organization
ROBERT PENSLER M D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PENSLER MD (PRESIDENT)
(248) 932-2607
Entity
Organization
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(248) 932-2607
Mailing address
31160 HUNTERS DR, FARMINGTON HILLS, MI 48334-1214
(248) 932-2607
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
RP077774
MI
207RP1001X
Pulmonary Disease Physician
RP077774
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP077774
STATE LICENSE
MI
Enumeration date
05/29/2007
Last updated
02/19/2008
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