Healthcare Provider Details

I. General information

NPI: 1871812768
Provider Name (Legal Business Name): ROBERT ORFEO GUERRIERI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2010
Last Update Date: 05/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46977 ROMEO PLANK RD
MACOMB MI
48044-3509
US

IV. Provider business mailing address

62627 POND DR
WASHINGTON MI
48094-1333
US

V. Phone/Fax

Practice location:
  • Phone: 586-286-4285
  • Fax:
Mailing address:
  • Phone: 586-781-8706
  • Fax: 586-781-8958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302024704
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS25825
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: