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1366424392

NPI Code Detail

MEDICARE: DR. PHILLIP LORANE ROBINSON MD

MEDICARE: DR. PHILLIP LORANE ROBINSON MD

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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	4301053205	MI

Other Identifiers

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

General Provider Information

NPI Number	:	1366424392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILLIP LORANE ROBINSON MD

Provider Business Mailing Address
First Line	:	1 GENESYS PKWY STE 3452
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-8065
Country	:	US
Telephone Number	:	248-849-2600
Fax Number	:	248-849-2610

Provider Business Practice Location Address
First Line	:	1 GENESYS PKWY STE 3452
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-8065
Country	:	US
Telephone Number	:	248-849-2600
Fax Number	:	248-849-2610

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	07/31/2024

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Directions to “ DR. PHILLIP LORANE ROBINSON MD” Practice Location

Language	Start Address	Practice Location

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