Individual
DR. ROBERT CHARLES MEDLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 S EAST AVE, JACKSON, MI 49201-2412
(517) 787-3902
(517) 787-8335
Mailing address
150 S EAST AVE, JACKSON, MI 49201-2412
(517) 787-3902
(517) 787-8335
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36871
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0380001
BCBSM
MI
05
—
1327328
—
MI
Enumeration date
11/28/2005
Last updated
01/23/2014
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