Individual
DR. ROBERT M HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3801 GLENKERRY CT, PORTAGE, MI 49024-0718
(269) 329-0888
Mailing address
3801 GLENKERRY CT, PORTAGE, MI 49024-0718
(269) 329-0888
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2901014093
MI
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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