| Robert J. Egan, M.d., Pllc | |
|
1310 Nicolet Pl Detroit MI 48207-2838 | |
| (313) 549-3149 | |
| Not Available |
| Full Name | Robert J. Egan, M.d., Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 1310 Nicolet Pl, Detroit, Michigan |
| Authorized Official Name and Position | Robert Joseph Egan (MANAGER) |
| Authorized Official Contact | 3135493149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J. Egan, M.d., Pllc 1310 Nicolet Pl Detroit MI 48207-2838 Ph: (313) 549-3149 | Robert J. Egan, M.d., Pllc 1310 Nicolet Pl Detroit MI 48207-2838 Ph: (313) 549-3149 |
| NPI Number | 1295133320 |
|---|---|
| Provider Enumeration Date | 12/05/2014 |
| Last Update Date | 05/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295133320 | NPI | - | NPPES |
| OH28008 003 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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