Individual
MICHAEL W ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4201 SAINT ANTOINE ST, STE. 6B, DETROIT, MI 48201-2153
(313) 966-2609
(313) 745-4298
Mailing address
3800 WOODWARD AVE, SUITE 600, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101011614
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3435647
—
MI
05
—
4462390
—
MI
Enumeration date
12/21/2005
Last updated
12/03/2007
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