Kevin Wallace Robertson in Lake Orion - Family Medicine
Kevin Wallace Robertson - NPI 1780774562
Kevin Wallace Robertson is a Family Medicine in Lake Orion, Michigan. Kevin Wallace Robertson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kevin Wallace Robertson is 1780774562. The last update date is 2007-07-08.
Kevin Wallace Robertson's current location address is 1375 S Lapeer Rd, Lake Orion, Michigan. You can contact this provider via phone number 2486939040 and fax number 2486939007. The mailing address for Kevin Wallace Robertson is 1375 S Lapeer Rd, Lake Orion, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Wallace Robertson |
|---|---|
| Address | 1375 S Lapeer Rd, Lake Orion, Michigan |
| Phone Number | 2486939040 |
| Fax Number | 2486939007 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1780774562 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1375 S Lapeer Rd |
|---|---|
| City | Lake Orion |
| State | Michigan (MI) |
| Post Code | 483601421 |
| Phone Number | 2486939040 |
| Fax Number | 2486939007 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101009588 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identifier code issued to Kevin Wallace Robertson by the Centers for Medicare & Medicaid Services?
The Kevin Wallace Robertson has been assigned the NPI (National Provider Identifier) 1780774562 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kevin Wallace Robertson?
The Kevin Wallace Robertson is situated at 1375 S Lapeer Rd, in the city of Lake Orion, state of MI, with the zip code 483601421.
What is Kevin Wallace Robertson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin Wallace Robertson is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date was the 1780774562 assigned to Kevin Wallace Robertson?
The Kevin Wallace Robertson was issued its 1780774562 on 2006-10-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kevin Wallace Robertson most recently updated or refreshed?
The details pertaining to the Kevin Wallace Robertson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.