Organization
EDWARD ROBERTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ROBERTS MD (OWNER)
(313) 307-4967
Entity
Organization
Contact information
Practice address
15000 GRATIOT AVE, DETROIT, MI 48205-1973
(313) 307-4967
Mailing address
25146 LINDENWOOD LN, SOUTHFIELD, MI 48033-6103
(248) 497-1399
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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