IndividualActive
Detrick Robinson
NPI 1306558176 · Driver · Fort Wayne, IN
Provider details
- NPI number
- 1306558176
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
3627 Plaza Dr
Fort Wayne, IN 46806-4346
Phone: (260) 557-0045
Approximate (ZIP-level) locationGet directions
Mailing address
3627 Plaza Dr
Fort Wayne, IN 46806-4346
Registry dates
- Enumerated
- 2022-12-23
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.