Individual
DR. ROBERT CARL ENSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1428 W MILHAM AVE, PORTAGE, MI 49024-1209
(269) 345-8665
Mailing address
1818 FOREST DR, PORTAGE, MI 49002-6433
(269) 323-0975
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301035212
MI
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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