Organization
ROBERT A CORNETTE PH D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALLAN CORNETTE PH D (OFFICER)
(248) 569-5268
Entity
Organization
Contact information
Practice address
29260 FRANKLIN ROAD, SUITE 101, SOUTHFIELD, MI 48034-1182
(248) 569-5268
(248) 569-1291
Mailing address
29260 FRANKLIN RD, SUITE 101, SOUTHFIELD, MI 48034-1161
(248) 569-5268
(248) 569-1291
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
RC000724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F349690
BLUE CROSS
MI
Enumeration date
05/05/2008
Last updated
12/29/2008
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