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Robert Dejesus
NPI 1124786876 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5011 E Outer Dr Apt J204
Detroit, MI 48234 - Phone
- (313) 221-4054
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan