Provider Demographics
NPI:1518180215
Name:ROBERT A. STRASBERGER DPM PC
Entity Type:Organization
Organization Name:ROBERT A. STRASBERGER DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:STRASBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:248-895-7635
Mailing Address - Street 1:31961 OLDE FRANKLIN DR.
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334
Mailing Address - Country:US
Mailing Address - Phone:248-895-7635
Mailing Address - Fax:248-865-7244
Practice Address - Street 1:31961 OLDE FRANKLIN DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1731
Practice Address - Country:US
Practice Address - Phone:248-895-7635
Practice Address - Fax:248-865-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901001857213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4856351520OtherBLUECROSS
MIDG5276OtherRAILROAD
MIDG5276OtherRAILROAD