Individual
DR. NATHAN BRYAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
125 W MONROE ST, BANGOR, MI 49013-1332
(269) 427-2800
(269) 621-2556
Mailing address
PO BOX 124, BANGOR, MI 49013-0124
(734) 845-9064
(734) 557-4000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
NR009713
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598079873
—
MI
Enumeration date
07/29/2010
Last updated
02/14/2017
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