Provider Demographics
NPI:1235393513
Name:PARIS, ROBERT GERMAN (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:GERMAN
Last Name:PARIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35540 W MICHIGAN AVE
Mailing Address - Street 2:STE #300
Mailing Address - City:WAYNE
Mailing Address - State:MI
Mailing Address - Zip Code:48184-1626
Mailing Address - Country:US
Mailing Address - Phone:248-885-6463
Mailing Address - Fax:
Practice Address - Street 1:35540 W MICHIGAN AVE
Practice Address - Street 2:STE #300
Practice Address - City:WAYNE
Practice Address - State:MI
Practice Address - Zip Code:48184-1626
Practice Address - Country:US
Practice Address - Phone:248-885-6463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101005031207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine