Provider Demographics
NPI:1265528624
Name:ROBINS, MAX H (DO)
Entity type:Individual
Prefix:DR
First Name:MAX
Middle Name:H
Last Name:ROBINS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7086 WINDING BROOK CT
Mailing Address - Street 2:
Mailing Address - City:W BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3584
Mailing Address - Country:US
Mailing Address - Phone:248-432-7192
Mailing Address - Fax:
Practice Address - Street 1:7086 WINDING BROOK CT
Practice Address - Street 2:
Practice Address - City:W BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3584
Practice Address - Country:US
Practice Address - Phone:248-432-7192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2011-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI51010054962080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine