Grodman, Robert Stuart

Grodman, Robert Stuart is an individual health care provider with primary practice located at 37799 Professional Center Dr Suite 105, Livonia MI 48154-1153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Grodman, Robert Stuart can be contacted via phone (734) 464-3251.

Contact Information

Primary practice address
37799 Professional Center Dr Suite 105 Livonia MI 48154-1153
Phone: (734) 464-3251
Fax: (734) 464-3368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5101012327 Michigan

Profile Details

NPI number 1164495313
LBN Legal business name Grodman, Robert Stuart
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 17th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164495313 NPPES
Michigan MEDICAID 418900011

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