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1528258761
ROBERT JAN BASAK
PONTIAC, MI
NPI
1528258761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101017311)
Enumeration Date
2007-07-25
Last Update Date
2010-08-02
Business Address
-- ROBERT JAN BASAK D.O.
50 N PERRY ST
PONTIAC, MI 48342-2217
Phone number: 248-338-5392
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Mailing Address
-- ROBERT JAN BASAK D.O.
385 N LAPEER RD
OXFORD, MI 48371-3610
Phone number: 248-628-2597
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