Individual
THOMAS ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8316
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101027555
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101027555
MI
390200000X
Student in an Organized Health Care Education/Training Program
5151014955
MI
Other
Enumeration date
05/25/2021
Last updated
03/24/2026
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