Individual
ROBERT DEVORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 FORD PL, DETROIT, MI 48202-3450
(313) 874-3930
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
(313) 378-8480
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704322743
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704322743
MI
Other
Enumeration date
08/03/2020
Last updated
04/12/2022
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