Provider Demographics
NPI:1316760010
Name:ROBINSON, ROBYN
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18431 SYRACUSE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-2519
Mailing Address - Country:US
Mailing Address - Phone:313-725-0223
Mailing Address - Fax:
Practice Address - Street 1:8033 E 10 MILE RD APT 1222
Practice Address - Street 2:
Practice Address - City:CENTER LINE
Practice Address - State:MI
Practice Address - Zip Code:48015-1428
Practice Address - Country:US
Practice Address - Phone:313-725-0223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health