MEDICARE: DR. ROBERT WILLIAM DOWLING DPT

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	2251X0800X	Orthopedic Physical Therapist	5501006953	MI

General Provider Information

NPI Number	:	1821025578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT WILLIAM DOWLING DPT

Provider Business Mailing Address
First Line	:	2240 E HILL RD STE H
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-5425
Country	:	US
Telephone Number	:	810-606-8766
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 E HILL RD STE H
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-5425
Country	:	US
Telephone Number	:	810-606-8766
Fax Number	:

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	12/14/2012

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