Provider Demographics
NPI:1255369658
Name:HILL, ROBERT A (PA-C)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:HILL
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1221 PINE GROVE AVE
Mailing Address - Street 2:MCLAREN PORT HURON - EMERGENCY MEDICINE DEPARTMENT
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-3511
Mailing Address - Country:US
Mailing Address - Phone:810-989-3300
Mailing Address - Fax:810-985-2671
Practice Address - Street 1:1221 PINE GROVE AVE
Practice Address - Street 2:MCLAREN PORT HURON - EMERGENCY MEDICINE DEPARTMENT
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3511
Practice Address - Country:US
Practice Address - Phone:810-989-3300
Practice Address - Fax:810-985-2671
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2025-02-07
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Provider Licenses
StateLicense IDTaxonomies
NY020765363A00000X
MI5601004156363A00000X
NJ25MP00636600363A00000X
OH50.004755RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1255369658Medicaid
MIG46040122Medicare PIN