Individual
FREDERICK WILLIAM ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3273 DAVISON RD, STE 5, LAPEER, MI 48446-4306
(810) 245-7766
(810) 245-6216
Mailing address
3273 DAVISON RD, STE 5, LAPEER, MI 48446-4306
(810) 245-7766
(810) 245-6216
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101010293
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4115633
—
MI
Enumeration date
07/11/2005
Last updated
03/06/2008
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