Michael Robertson in Rockford - Nephrology
Michael Robertson - NPI 1093717027
Michael Robertson is a Nephrology in Rockford, Illinois. Michael Robertson practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Michael Robertson is 1093717027. The last update date is 2011-04-22.
Michael Robertson's current location address is 612 Roxbury Rd, Rockford, Illinois. You can contact this provider via phone number 8152278300 and fax number 8152278301. The mailing address for Michael Robertson is 612 Roxbury Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Robertson |
|---|---|
| Address | 612 Roxbury Rd, Rockford, Illinois |
| Phone Number | 8152278300 |
| Fax Number | 8152278301 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093717027 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2011-04-22 |
Provider Mailing Address Detail
| Address | 612 Roxbury Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611075089 |
| Phone Number | 8152278300 |
| Fax Number | 8152278301 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 36108880 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35332700 | WI | -- | |
| 1616108 | IL | BCBS |
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What is the unique identification code assigned to Michael Robertson by the Centers for Medicare & Medicaid Services?
The Michael Robertson has been issued the NPI (National Provider Identifier) 1093717027. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael Robertson?
The Michael Robertson is physically situated at 612 Roxbury Rd, in the city of Rockford, state of IL, with the postal code 611075089.
What is the Michael Robertson's specialty and taxonomy code?
The Michael Robertson's specialty is Nephrology, and the corresponding taxonomy code is 207Rn0300X.
When was the Michael Robertson's 1093717027 issued?
The Michael Robertson's 1093717027 was issued on 2005-08-10.
As of what date were the Michael Robertson's details last updated?
The information pertaining to the Michael Robertson, including its address, specialty, and other details, was most recently updated on 2011-04-22.