MEDICARE: DR. ROBERT MICHAEL DUCHARME D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301002957	MI

General Provider Information

NPI Number	:	1134297187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MICHAEL DUCHARME D.C.

Provider Business Mailing Address
First Line	:	111 ROCHDALE DR S
Second Line	:	SUITE B
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-2274
Country	:	US
Telephone Number	:	248-652-8686
Fax Number	:	248-601-2933

Provider Business Practice Location Address
First Line	:	111 ROCHDALE DR S
Second Line	:	SUITE B
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-2274
Country	:	US
Telephone Number	:	248-652-8686
Fax Number	:	248-601-2933

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	07/08/2007

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