Healthcare Provider Details

I. General information

NPI: 1518180215
Provider Name (Legal Business Name): ROBERT A. STRASBERGER DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 05/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31961 OLDE FRANKLIN DR
FARMINGTON HILLS MI
48334-1731
US

IV. Provider business mailing address

31961 OLDE FRANKLIN DR.
FARMINGTON HILLS MI
48334
US

V. Phone/Fax

Practice location:
  • Phone: 248-895-7635
  • Fax: 248-865-7244
Mailing address:
  • Phone: 248-895-7635
  • Fax: 248-865-7244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number5901001857
License Number StateMI

VIII. Authorized Official

Name: DR. ROBERT ALLAN STRASBERGER
Title or Position: PRESIDENT
Credential: DPM
Phone: 248-895-7635