Robert John Seledotis
Neurosurgeon
847 Parchment Dr Se Ste 125
Grand Rapids
, Michigan 49546-8623
Robert John Seledotis
Neurosurgeon
847 Parchment Dr Se Ste 125
Grand Rapids
, Michigan 49546-8623
(616) 454-6839
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Robert John Seledotis
- Po Box 3140
- Grand Rapids, MI
- Zip : 49501-3140
- Fax : (616) 454-6839
- Phone : (616) 454-9246
Second Address
- Robert John Seledotis
- 847 Parchment Dr Se Ste 125
- Grand Rapids, MI
- Zip : 49546-8623
- Fax : (616) 454-6839
- Phone : (616) 454-9246
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 5101013869 | MI |
National Provider Identifier
| NPI | 1053386789 |
|---|---|
| Provider Name | Robert John Seledotis |
| First Address | Grand Rapids, MI 49501-3140 |
| Second Address | Grand Rapids, MI 49546-8623 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 10/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.