Healthcare Provider Details

I. General information

NPI: 1972829174
Provider Name (Legal Business Name): ROBERT SAIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2010
Last Update Date: 04/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 WASHTENAW AVE SUITE 275
ANN ARBOR MI
48104-4200
US

IV. Provider business mailing address

3300 WASHTENAW AVE SUITE 275
ANN ARBOR MI
48104-4200
US

V. Phone/Fax

Practice location:
  • Phone: 734-213-6789
  • Fax: 734-585-1654
Mailing address:
  • Phone: 734-213-6789
  • Fax: 734-585-1654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number4301043769
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: