Individual
MRS. THERESA LYNN ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 EAST BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
Mailing address
2531 19 MILE RD NE, CEDAR SPRINGS, MI 49319-9648
(616) 940-0040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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