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Robert Ginnebaugh

Anesthesiology in Clinton Township, MI. Individual provider (NPI-1).

NPI number1760725675
StatusActive
Last updated in NPPESNov 3, 2018

Details

NPI
1760725675
Entity type
Individual (NPI-1)
Name
Robert Ginnebaugh
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2013
Last updated
Nov 3, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology4301115455MIYes
207L00000X Anesthesiology265229MA
390200000X Student in an Organized Health Care Education/Training Program–MA

Practice location

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Phone 586-263-2300

Mailing address

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Phone 586-263-2300

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