Individual
GERARD S ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 FRANKLIN ST, SUITE 200, MICHIGAN CITY, IN 46360-3563
(219) 872-6200
Mailing address
2401 VALLEY DR, VALPARAISO, IN 46383-2520
(219) 462-7173
(219) 465-9502
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01054761A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000591038
ANTHEM
IN
05
—
200337400
—
IN
Enumeration date
01/20/2006
Last updated
04/30/2017
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