Doctor Name: | MRS. REGINA PAN ROBINSON |
NPI Number: | 1659496438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 4301036183 |
Business Practice Address: | 2920 Pebble Creek Ann Arbor, MI - 481081730 |
Business Phone Number: | 7349714292 |
Business Fax Number: | |
Mailing Address: | 2920 Pebble Creek, ANN ARBOR |
State: | MI |
Postal Code: | 481081730 |
Phone Number: | 7349714292 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301036183 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |