Robertson, Daniel John

Robertson, Daniel John is an individual health care provider with primary practice located at 330 Barclay Ave Ne Suite 202, Grand Rapids MI 49503-2556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Robertson, Daniel John can be contacted via phone (616) 458-1722.

Contact Information

Primary practice address
330 Barclay Ave Ne Suite 202 Grand Rapids MI 49503-2556
Phone: (616) 458-1722
Fax: (616) 458-0061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X DR087361 Michigan

Profile Details

NPI number 1578501573
LBN Legal business name Robertson, Daniel John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Oct 11th, 2007 - about 18 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 1578501573 NPPES
Michigan MEDICAID 4868466
Michigan Other P00203119

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