Provider Demographics
NPI:1386539096
Name:REDZIC, ROBI
Entity type:Individual
Prefix:
First Name:ROBI
Middle Name:
Last Name:REDZIC
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37641 LOLA DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-2045
Mailing Address - Country:US
Mailing Address - Phone:586-265-1733
Mailing Address - Fax:
Practice Address - Street 1:37641 LOLA DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-2045
Practice Address - Country:US
Practice Address - Phone:586-265-1733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)