Provider Demographics
NPI:1073025334
Name:ROBERT J STACHLER MD PC
Entity type:Organization
Organization Name:ROBERT J STACHLER MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:STACHLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-325-9653
Mailing Address - Street 1:1029 JAMES K BLVD
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-1824
Mailing Address - Country:US
Mailing Address - Phone:248-325-9653
Mailing Address - Fax:248-862-6451
Practice Address - Street 1:33200 W. 14 MILE RD.
Practice Address - Street 2:STE. 240
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322
Practice Address - Country:US
Practice Address - Phone:248-325-9653
Practice Address - Fax:248-862-6451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-26
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301060787207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty