Individual
DR. ROBERT DAVID ROLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
106 S WASHINGTON ST, CHARLOTTE, MI 48813-1545
(517) 543-7595
(517) 543-7594
Mailing address
106 S WASHINGTON ST, CHARLOTTE, MI 48813-1545
(517) 543-7535
(517) 543-7594
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006994
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3127961
—
MI
01
—
44-00013
PHYSICIANS HEALTH PLAN
—
01
—
44-70014
PHP-MEDICAID
MI
01
—
950B35044
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/26/2006
Last updated
07/09/2007
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