Robertson, Kevin Wallace

Robertson, Kevin Wallace is an sole proprietor health care provider with primary practice located at 1375 S Lapeer Rd Suite 106, Lake Orion MI 48360-1421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Robertson, Kevin Wallace can be contacted via phone (248) 693-9040.

Contact Information

Primary practice address
1375 S Lapeer Rd Suite 106 Lake Orion MI 48360-1421
Phone: (248) 693-9040
Fax: (248) 693-9007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101009588 Michigan

Profile Details

NPI number 1780774562
LBN Legal business name Robertson, Kevin Wallace
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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