Individual
DR. LARRY J ROBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 BRADFORD ST NE, GRAND RAPIDS, MI 49525-6427
(616) 885-5000
(616) 913-9025
Mailing address
PO BOX 152057, GRAND RAPIDS, MI 49515-2057
(616) 885-5000
(616) 913-9025
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301025828
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301610
—
MI
01
—
770002740
RAILROAD MEDICARE
MI
Enumeration date
11/03/2005
Last updated
11/05/2010
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