Provider Demographics
NPI:1134297187
Name:DUCHARME, ROBERT MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:DUCHARME
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 ROCHDALE DR S
Mailing Address - Street 2:SUITE B
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-2274
Mailing Address - Country:US
Mailing Address - Phone:248-652-8686
Mailing Address - Fax:248-601-2933
Practice Address - Street 1:111 ROCHDALE DR S
Practice Address - Street 2:SUITE B
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-2274
Practice Address - Country:US
Practice Address - Phone:248-652-8686
Practice Address - Fax:248-601-2933
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301002957111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor