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General NPI Number Information
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NPI Number | 1194748731
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Entity Type | Individual
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Provider Name | MICHAEL ROBINSON DO
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/08/2013
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Provider Practice Location Address
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Address Line | 1950 MAIN ST.
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City | ROANOKE
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State | AL
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Zip | 36274-2512
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Country | US
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Telephone | 334-863-2311
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Fax | 334-863-5596
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Provider Business Mailing Address
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Address Line | 1950 MAIN ST
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City | ROANOKE
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State | AL
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Zip | 36274-2512
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Country | US
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Telephone | 334-863-2311
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Fax | 334-863-5596
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0306
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License Number State | AL
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