Individual
SAMUEL ROBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 SOUTH WARWICK DR, ALMA, MI 48801
(989) 463-1101
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101006778
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
006778
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750318069
BC BS MI
MI
05
—
1750318069
—
MI
05
—
4336607
—
MI
05
—
4387043
—
MI
05
—
4730955
—
MI
05
—
4730964
—
MI
01
—
SR006778
BC/BS
MI
Enumeration date
06/26/2006
Last updated
09/24/2009
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