Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 5101005496 | MI |
NPI | 1265528624 |
---|---|
Provider Name | Dr. Max H Robins |
First Address | W Bloomfield, MI 48322-3584 |
Second Address | W Bloomfield, MI 48322-3584 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 20/08/2011 |