Healthcare Provider Details

I. General information

NPI: 1407184591
Provider Name (Legal Business Name): ROBERT PATRICK BELL D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2009
Last Update Date: 11/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 MILLER RD BOX 229
FLINT MI
48507-1257
US

IV. Provider business mailing address

PO BOX 1322 P.O. BOX 1322
BOCA GRANDE FL
33921-1322
US

V. Phone/Fax

Practice location:
  • Phone: 810-516-9214
  • Fax:
Mailing address:
  • Phone: 810-516-9214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number5101006914
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: