Individual
ROBERT GINNEBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
265229
MA
207L00000X
Anesthesiology Physician
Primary
4301115455
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
03/28/2013
Last updated
11/03/2018
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