Healthcare Provider Details

I. General information

NPI: 1285673210
Provider Name (Legal Business Name): KATHARINE W ROBERT P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2209 EULER RD
BRIGHTON MI
48114-6815
US

IV. Provider business mailing address

3837 SILVER CHARM LN
HOWELL MI
48843-9215
US

V. Phone/Fax

Practice location:
  • Phone: 517-540-0709
  • Fax: 517-540-1775
Mailing address:
  • Phone: 810-225-7960
  • Fax: 810-225-7961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number5601004290
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: