Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN WALLACE ROBERTSON, D.O.
Active Sole ProprietorDR. KEVIN WALLACE ROBERTSON, D.O. is a Family Medicine healthcare provider located in LAKE ORION, Michigan. NPI 1780774562 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAKE ORION, MI
Registration Details
- NPI Number
- 1780774562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2006 (19.82879489412 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5101009588 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1375 S LAPEER RDSUITE 106LAKE ORION, MI, 483601421Browse MI providers · Browse ZIP 48360
- Phone
- 2486939040
- Fax
- 2486939007
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LAKE ORION, MI
| Name | Credential | NPI |
|---|---|---|
| DR. GITA K VORA | MD | 1386635241 |
| DR. CARL C SARNACKI | MD | 1063498319 |
| DR. SANDRA A GOLDEN | MD | 1528033594 |
| DR. JAMES J BAUER | MD | 1922053685 |
| DR. STEVEN PAUL COGSWELL | M.D. | 1528001922 |
| DR. GARY P HOLLOWAY | D.O. | 1982625976 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.