Provider Demographics
NPI:1174583132
Name:ROBISON, WALTER ARVID (MD)
Entity type:Individual
Prefix:MR
First Name:WALTER
Middle Name:ARVID
Last Name:ROBISON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3125 WEST MAIN STREET
Mailing Address - Street 2:SUITE #2
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006
Mailing Address - Country:US
Mailing Address - Phone:269-381-7916
Mailing Address - Fax:269-381-7932
Practice Address - Street 1:3125 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49006
Practice Address - Country:US
Practice Address - Phone:269-381-7916
Practice Address - Fax:269-381-7932
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIWR026061207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine