Provider Demographics
NPI:1871536508
Name:ROBINSON, STEPHEN WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:WILLIAM
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:327 CAPITAL AVE NE
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3924
Mailing Address - Country:US
Mailing Address - Phone:269-969-6040
Mailing Address - Fax:269-969-6041
Practice Address - Street 1:327 CAPITAL AVE NE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3924
Practice Address - Country:US
Practice Address - Phone:269-969-6040
Practice Address - Fax:269-969-6041
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI044388207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4229287Medicaid
MID72568Medicare UPIN
MI0N10050001Medicare PIN