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Detrick Robinson
NPI 1306558176 · on the registry since 2022
Practice
- Address
- 3627 Plaza Dr
Fort Wayne, IN 46806 - Phone
- (260) 557-0045
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana