Organization
ROBERT I BOORSTEIN DO PC
Active
Other names
Advance Surgical Associat
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT I BOORSTEIN (PRESIDENT)
(248) 478-7733
Entity
Organization
Contact information
Practice address
25500 MEADOWBROOK RD, SUITE 208, NOVI, MI 48375-1878
(248) 478-7733
(248) 478-3533
Mailing address
25500 MEADOWBROOK RD, SUITE 208, NOVI, MI 48375-1878
(248) 478-7733
(248) 478-3533
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MR011373
MI
208600000X
Surgery Physician
Primary
RB007073
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1767737
—
MI
Enumeration date
09/29/2006
Last updated
05/13/2009
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