Healthcare Provider Details

I. General information

NPI: 1376537316
Provider Name (Legal Business Name): ROBERT L TOWNSEND DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 SHAMROCK CT
CLARE MI
48617-9708
US

IV. Provider business mailing address

395 SHAMROCK CT
CLARE MI
48617-9708
US

V. Phone/Fax

Practice location:
  • Phone: 989-797-4200
  • Fax:
Mailing address:
  • Phone: 989-797-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberRT016296
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: