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General NPI Number Information
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NPI Number | 1598746745
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Entity Type | Organization
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Legal Business Name | ROBERT WALDMANN DO PC
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 43555 DALCOMA DR SUITE 8
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City | CLINTON TWP
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State | MI
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Zip | 48038-6310
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Country | US
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Telephone | 586-286-9055
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Fax | 586-286-2934
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Provider Business Mailing Address
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Address Line | 43555 DALCOMA DR SUITE 8
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City | CLINTON TWP
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State | MI
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Zip | 48038-6310
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Country | US
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Telephone | 586-286-9055
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Fax | 586-286-2934
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT WALDMAN
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Credential | DO
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Telephone | 586-286-9055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 5101005717
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License Number State | MI
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