Provider Demographics
NPI:1598350324
Name:POPOVSKI, ROBERT MARKO JR
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MARKO
Last Name:POPOVSKI
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11416 SCARBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-1185
Mailing Address - Country:US
Mailing Address - Phone:586-651-5856
Mailing Address - Fax:
Practice Address - Street 1:11416 SCARBOROUGH DR
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-1185
Practice Address - Country:US
Practice Address - Phone:586-651-5856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant