Doctor Name: | ROBERT VARTABEDIAN |
NPI Number: | 1356310114 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301056690 |
Business Practice Address: | 990 W Ann Arbor Trl Ste 104 Plymouth, MI - 481706204 |
Business Phone Number: | 7344141099 |
Business Fax Number: | 7344141065 |
Mailing Address: | 990 W Ann Arbor Trl, Ste 104 PLYMOUTH |
State: | MI |
Postal Code: | 481706204 |
Phone Number: | 7344141099 |
Fax Number: | 7344141065 |
NPI Enumeration Date: | 03/15/2006 |
NPI Last Update Date: | 08/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 4301056690 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |