Individual
ROBERT BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
577 MICHIGAN AVE, STE 201, HOLLAND, MI 49423-4911
(616) 392-1816
(616) 392-1292
Mailing address
PO BOX 77000, DEPT # 771412, DETROIT, MI 48277-1412
(616) 392-1816
(616) 392-1292
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
13819
ND
208800000X
Urology Physician
Primary
4301044366
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952507444
GROUP NPI
—
Enumeration date
06/17/2005
Last updated
04/11/2023
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