Healthcare Provider Details

I. General information

NPI: 1922681618
Provider Name (Legal Business Name): ROBERT GARCIA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5333 MCAULEY DRIVE STE 5011
YPSILANTI MI
48197
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DRIVE
STE J2000 MI
48105
US

V. Phone/Fax

Practice location:
  • Phone: 734-747-6766
  • Fax: 734-327-1160
Mailing address:
  • Phone: 734-747-6766
  • Fax: 734-222-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number5101029595
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: