Individual
GLENDA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8033 E 10 MILE RD, STE. 104, CENTER LINE, MI 48015-1427
(586) 754-3511
Mailing address
8033 E 10 MILE RD, STE. 104, CENTER LINE, MI 48015-1427
(586) 754-3511
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
GR3501001020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540E02694
BCNETWORK ID
MI
01
—
GR3501001020
STATE ID
MI
Enumeration date
03/27/2007
Last updated
07/08/2007
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