Provider Demographics
NPI:1912997891
Name:SKLAR, ROBERT A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:SKLAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:415 E MAPLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2720
Mailing Address - Country:US
Mailing Address - Phone:248-582-1010
Mailing Address - Fax:248-526-1717
Practice Address - Street 1:415 E MAPLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2720
Practice Address - Country:US
Practice Address - Phone:248-582-1010
Practice Address - Fax:248-526-1717
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2020-10-23
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Provider Licenses
StateLicense IDTaxonomies
MI4301048166207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1806366891OtherBLUE CROSS BLUE SHIELD
MI1806366891OtherBLUE CROSS BLUE SHIELD
MI0P35920Medicare PIN
C43935Medicare UPIN