Individual
DR. ROBERT GEORGE FAWCETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2206 MITCHELL PARK DR, STE 10, PETOSKEY, MI 49770-8674
(231) 487-2415
(231) 487-6569
Mailing address
2206 MITCHELL PARK DR, STE 10, PETOSKEY, MI 49770-8674
(231) 487-2415
(231) 487-6569
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301038067
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4090955
—
MI
Enumeration date
05/15/2006
Last updated
07/08/2007
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