Healthcare Provider Details

I. General information

NPI: 1720810948
Provider Name (Legal Business Name): TERI ANN ROBBINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2024
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32175 DORSEY ST
WESTLAND MI
48186
US

IV. Provider business mailing address

32175 DORSEY ST
WESTLAND MI
48186
US

V. Phone/Fax

Practice location:
  • Phone: 734-641-1141
  • Fax: 734-641-1142
Mailing address:
  • Phone: 734-641-1141
  • Fax: 734-641-1142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: