Individual
MARK ROBY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
30840 NORTHWESTERN HWY, STE 110, FARMINGTON HILLS, MI 48334-2552
(248) 626-7544
(248) 626-9698
Mailing address
1245 DERBY RD, #7, BIRMINGHAM, MI 48009-5809
(248) 318-8775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MR001689
MI
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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