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Individual

ROBERTO O. DENIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
(734) 246-6000
Mailing address
1640 FORT STREET, SUITE D ATTN DENISE, TRENTON, MI 48183
(734) 391-3057
(734) 391-3052

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301038449
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H24657
BLUE CROSS
MI
01
1457586646
GROUP NPI HENRY FORD WYANDOTTE
MI
05
257721810
MI
Enumeration date
12/12/2006
Last updated
02/21/2017
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