Provider Demographics
NPI:1063536993
Name:DELA CRUZ, ROBERT G (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:G
Last Name:DELA CRUZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2383 TWIN LAKES DR
Mailing Address - Street 2:APT. 2A
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1479
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5333 MCAULEY DR
Practice Address - Street 2:REICHERT HEALTH CENTER, SUITE 3009
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1014
Practice Address - Country:US
Practice Address - Phone:734-712-3980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2022-01-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301086225207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine