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Individual

DR. MICHAEL BRIAN ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9040 QUIVIRA RD, LENEXA, KS 66215-3902
(913) 944-4900
Mailing address
9040 QUIVIRA RD, LENEXA, KS 66215-3902
(913) 944-4900

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-31721
KS
2085R0202X
Diagnostic Radiology Physician
2006001797
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200176303
MO
05
200371230A
KS
05
200371230B
KS
Enumeration date
02/09/2006
Last updated
03/24/2025
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