Provider Demographics
NPI:1497935076
Name:DR ROBIN THOPMSON MD PC
Entity Type:Organization
Organization Name:DR ROBIN THOPMSON MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:SWETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-651-8978
Mailing Address - Street 1:600 S LAKEVIEW ST STE 202
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-3309
Mailing Address - Country:US
Mailing Address - Phone:269-659-0174
Mailing Address - Fax:269-659-0182
Practice Address - Street 1:600 S LAKEVIEW ST STE 202
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-3309
Practice Address - Country:US
Practice Address - Phone:269-659-0174
Practice Address - Fax:269-659-0182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301053034207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP19880Medicare PIN