Provider Demographics
NPI:1679869655
Name:ROBINSON, TERONTO (MD)
Entity Type:Individual
Prefix:
First Name:TERONTO
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:130 TOWN CENTER DR
Mailing Address - Street 2:STE 203
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-1744
Mailing Address - Country:US
Mailing Address - Phone:248-585-8265
Mailing Address - Fax:248-585-8266
Practice Address - Street 1:6900 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3405
Practice Address - Country:US
Practice Address - Phone:248-855-4134
Practice Address - Fax:248-855-4191
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2016-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301098668207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine