MEDICARE: ROBERT C SESKI 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	207R00000X	Internal Medicine Physician	4301407014	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457301335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT C SESKI MD

Provider Business Mailing Address
First Line	:	198 S MAIN ST
Second Line	:	SUITE 3
City	:	MOUNT CLEMENS
State	:	MI
Zip	:	48043-7917
Country	:	US
Telephone Number	:	586-465-2879
Fax Number	:	586-465-5424

Provider Business Practice Location Address
First Line	:	26400 OUTER DR
Second Line	:
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-2088
Country	:	US
Telephone Number	:	313-594-6000
Fax Number	:

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	10/05/2009

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