Individual
DR. ROBERT BRUCE PAGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5082 LOVERS LN, PORTAGE, MI 49002-1557
(269) 381-0118
(269) 381-4610
Mailing address
5082 LOVERS LN, PORTAGE, MI 49002-1557
(269) 381-0118
(269) 381-4610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301050795
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1230259
PHP
MI
05
—
2997419
—
MI
01
—
3503909888
BLUE CROSS PIN #
MI
01
—
4301050795
MI PHYSICIAN NUMBER
MI
01
—
P68785
BLUE CHOICE
MI
Enumeration date
01/10/2006
Last updated
03/07/2023
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