MEDICARE: MR. WALTER ARVID ROBISON MD

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	207Q00000X	Family Medicine Physician	WR026061	MI

General Provider Information

NPI Number	:	1174583132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WALTER ARVID ROBISON MD

Provider Business Mailing Address
First Line	:	3125 WEST MAIN STREET
Second Line	:	SUITE #2
City	:	KALAMAZOO
State	:	MI
Zip	:	49006
Country	:	US
Telephone Number	:	269-381-7916
Fax Number	:	269-381-7932

Provider Business Practice Location Address
First Line	:	3125 WEST MAIN STREET
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49006
Country	:	US
Telephone Number	:	269-381-7916
Fax Number	:	269-381-7932

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	07/08/2007

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