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NPI Code Detail

MEDICARE: WENDY ROBERTS M.D.

MEDICARE: WENDY ROBERTS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistWR082938MI
2208000000XPediatrics Physician4301082938MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164487963
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY ROBERTS M.D.
Provider Business Mailing Address
First Line : 24 FRANK LLOYD WRIGHT DR
Second Line : PO BOX 0446 LOBBY J
City : ANN ARBOR
State : MI
Zip : 48105-9484
Country : US
Telephone Number : 734-747-6766
Fax Number : 734-222-3100
Provider Business Practice Location Address
First Line : 4350 JACKSON RD
Second Line : SUITE 100
City : ANN ARBOR
State : MI
Zip : 48103-1889
Country : US
Telephone Number : 734-971-9344
Fax Number : 734-971-2303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 12/28/2016

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Directions to “ WENDY ROBERTS M.D.” Practice Location

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