Provider Demographics
NPI:1093760910
Name:ROBINSON, ANKE U (MD)
Entity Type:Individual
Prefix:
First Name:ANKE
Middle Name:U
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5400 FORT ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-4632
Mailing Address - Country:US
Mailing Address - Phone:734-362-7100
Mailing Address - Fax:734-671-1768
Practice Address - Street 1:5400 FORT ST
Practice Address - Street 2:SUITE 130
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-4632
Practice Address - Country:US
Practice Address - Phone:734-362-7100
Practice Address - Fax:734-671-1768
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2014-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301074622207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI14071OtherMCARE
MI4391636Medicaid
MI2193647OtherUHC
MI4301074622OtherPHYSICIAN LICENSE
MI133938OtherMERCY CARE CHOICES
MI7466376OtherAETNA
MI8270134OtherCIGNA
MI700H21076OtherBCBSM
MICC3713OtherRR MEDICARE
MI700H21076OtherBCBSM
MIH58739Medicare UPIN
MIH58739Medicare UPIN