Provider Demographics
NPI:1386756773
Name:ROBINSON, RENEE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:MARIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 ATLANTIC BLVD NE
Mailing Address - Street 2:PATH: FORENSIC
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44705-4374
Mailing Address - Country:US
Mailing Address - Phone:330-451-1366
Mailing Address - Fax:
Practice Address - Street 1:4500 ATLANTIC BLVD NE
Practice Address - Street 2:PATH: FORENSIC
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44705-4374
Practice Address - Country:US
Practice Address - Phone:330-451-1366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHRT1607207ZP0102X
MA249692207ZF0201X
VA0101247532207ZF0201X
OH35.126181207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology