Provider Demographics
NPI:1720128150
Name:ROBINSON, RICHARD TAYLOR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:TAYLOR
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1236 CREEK VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1700
Mailing Address - Country:US
Mailing Address - Phone:810-785-4930
Mailing Address - Fax:810-341-2928
Practice Address - Street 1:4777 E OUTER DR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-3241
Practice Address - Country:US
Practice Address - Phone:313-369-5700
Practice Address - Fax:313-369-5755
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301041368207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine