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Robert Douglas
NPI 1861516239 · on the registry since 2007 · sole proprietor
Practice
- Address
- 12412 Stafford St
Ravenna, MI 48451 - Phone
- (231) 853-6459
- Fax
- (231) 853-6459
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Michigan