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NPI Code Detail

MEDICARE: MADALYNN ROBSON

MEDICARE:   MADALYNN  ROBSON
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
1363L00000XNurse Practitioner4704399759MI

General Provider Information

NPI Number : 1164081246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADALYNN ROBSON
Provider Business Mailing Address
First Line : 13530 MICHIGAN AVE STE 280
Second Line :
City : DEARBORN
State : MI
Zip : 48126-3575
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13530 MICHIGAN AVE STE 280
Second Line :
City : DEARBORN
State : MI
Zip : 48126-3575
Country : US
Telephone Number : 313-816-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2019
Last Update Date : 03/23/2026

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Directions to “ MADALYNN ROBSON ” Practice Location

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