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Individual

DR. ROBERT BRUCE PAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
07/13/2026
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