Healthcare Provider Details

I. General information

NPI: 1023134442
Provider Name (Legal Business Name): ROBERT L RHODES M.P.A., C.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 12/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2883 HAWKS RD
ANN ARBOR MI
48108-1318
US

IV. Provider business mailing address

709 WOODCREEK CIR
SALINE MI
48176-1178
US

V. Phone/Fax

Practice location:
  • Phone: 734-434-6246
  • Fax:
Mailing address:
  • Phone: 734-355-6282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: