MEDICARE: ROBERT A VALICE 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	208600000X	Surgery Physician	4301078493	MI
2	207V00000X	Obstetrics & Gynecology Physician	4301078493	MI

General Provider Information

NPI Number	:	1346284759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT A VALICE MD

Provider Business Mailing Address
First Line	:	32743 23 MILE RD STE 210
Second Line	:
City	:	CHESTERFIELD
State	:	MI
Zip	:	48047-2176
Country	:	US
Telephone Number	:	586-725-3444
Fax Number	:	586-725-0984

Provider Business Practice Location Address
First Line	:	32743 23 MILE RD STE 110
Second Line	:
City	:	CHESTERFIELD
State	:	MI
Zip	:	48047-2082
Country	:	US
Telephone Number	:	586-725-3444
Fax Number	:	586-725-0984

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	12/27/2021

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Directions to “ ROBERT A VALICE MD” Practice Location

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