Individual
ROBERT M MENTZER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 JOHN R ST, STE 615, DETROIT, MI 48201-2020
(313) 745-4195
(313) 993-8669
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5974
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301087172
MI
Other
Enumeration date
06/02/2006
Last updated
02/06/2014
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