Individual
MILTON GARY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1445 SHELDON RD, SUITE 301, GRAND HAVEN, MI 49417-2480
(616) 847-2500
(616) 847-6719
Mailing address
1445 SHELDON RD, SUITE 301, GRAND HAVEN, MI 49417-2480
(616) 847-2500
(616) 847-6719
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
4301026001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0705912
BCBSM IND. PIN
MI
01
—
0G01131
BCBSM GRP PIN
MI
01
—
DF4619
MEDICARE RR GRP PIN
MI
Enumeration date
06/16/2005
Last updated
03/04/2009
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