Provider Demographics
NPI:1285668335
Name:HUGEN, ROBIN A (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:A
Last Name:HUGEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:A
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:42141 MOUND RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-3144
Mailing Address - Country:US
Mailing Address - Phone:586-254-7593
Mailing Address - Fax:586-254-7834
Practice Address - Street 1:42141 MOUND RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-3144
Practice Address - Country:US
Practice Address - Phone:586-254-7593
Practice Address - Fax:586-254-7834
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301072110208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4311081Medicaid