ROBERT JAN BASAK

PONTIAC, MI
NPI1528258761
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101017311)
Enumeration Date2007-07-25
Last Update Date2010-08-02
Business Address
-- ROBERT JAN BASAK D.O.
50 N PERRY ST
PONTIAC, MI 48342-2217
Phone number: 248-338-5392
Mailing Address
-- ROBERT JAN BASAK D.O.
385 N LAPEER RD
OXFORD, MI 48371-3610
Phone number: 248-628-2597