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NPI Code Detail

MEDICARE: MR. ROBERT LEON PACER MD

MEDICARE: MR. ROBERT LEON PACER 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
1207R00000XInternal Medicine Physician4301047167MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21102810152OTHERMIBCBSM

General Provider Information

NPI Number : 1770543993
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT LEON PACER MD
Provider Business Mailing Address
First Line : 4977 SKYVIEW CT
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-6941
Country : US
Telephone Number : 231-486-5516
Fax Number : 231-421-1439
Provider Business Practice Location Address
First Line : 4977 SKYVIEW CT
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-6941
Country : US
Telephone Number : 231-486-5516
Fax Number : 231-421-1439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 11/04/2020

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