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Individual

CHARLES E ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
13355 E 10 MILE RD, WARREN, MI 48089-2048
(586) 759-7480
(586) 759-7479
Mailing address
13355 E 10 MILE RD, WARREN, MI 48089-2048
(586) 759-7480
(586) 759-7479

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704110664
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1735297
MI
Enumeration date
07/12/2006
Last updated
07/08/2007
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