Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin Wallace Robertson, DO

Individual provider Family Medicine Physician · NPI 1780774562

Dr. Kevin Wallace Robertson, DO is a Family Medicine Physician in Lake Orion, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1375 S Lapeer Rd Ste 106
Lake Orion, MI 48360-1421
Phone: (248) 693-9040
Fax: (248) 693-9007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101009588 (MI)

Record details

NPI number1780774562
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedOctober 13, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1375 S Lapeer Rd, Suite 106, Lake Orion, MI 48360-1421

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