MEDICARE: ROBERT N. BILKOVSKI M.D.

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	207P00000X	Emergency Medicine Physician	4301065665	MI

General Provider Information

NPI Number	:	1750455366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT N. BILKOVSKI M.D.

Provider Business Mailing Address
First Line	:	500 W SILVER SPRING DR
Second Line	:	SUITE K-200
City	:	GLENDALE
State	:	WI
Zip	:	53217-5051
Country	:	US
Telephone Number	:	248-677-1007
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 W SILVER SPRING DR
Second Line	:	SUITE K-200
City	:	GLENDALE
State	:	WI
Zip	:	53217-5051
Country	:	US
Telephone Number	:	248-677-1007
Fax Number	:

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

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	11/19/2015

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