Doctor Name: | DR. ROBERT J URBAN |
NPI Number: | 1104849868 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301033860 |
Business Practice Address: | 500 Main St Manistique, MI - 498541522 |
Business Phone Number: | 9063412153 |
Business Fax Number: | 9063413299 |
Mailing Address: | 500 Main St, MANISTIQUE |
State: | MI |
Postal Code: | 498541522 |
Phone Number: | 9063412153 |
Fax Number: | 9063413299 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 4301033860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |