Healthcare Provider Details

I. General information

NPI: 1013951508
Provider Name (Legal Business Name): ROBERT L HIGHHOUSE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 11/27/2023
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 TURWILL LN
KALAMAZOO MI
49006-4231
US

IV. Provider business mailing address

315 TURWILL LN
KALAMAZOO MI
49006-4231
US

V. Phone/Fax

Practice location:
  • Phone: 269-343-8170
  • Fax: 269-382-2388
Mailing address:
  • Phone: 269-343-8170
  • Fax: 269-382-2388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4301064289
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: