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Individual

ROBIN U. MICHITSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1445 CHRISTY DR, JEFFERSON CITY, MO 65101-2853
(573) 636-3483
(573) 636-5315
Mailing address
1445 CHRISTY DR, JEFFERSON CITY, MO 65101-2853
(573) 636-3483
(573) 636-5315

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
103378
MO
208VP0014X
Interventional Pain Medicine Physician
103378
MO

Other

Enumeration date
09/20/2005
Last updated
10/15/2007
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