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Individual
DR. JEFFREY SCHOCK
Active
Individual
DR. JEFFREY SCHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5101012354
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0425310001
DMERC-OAKLAND OFFICE
MI
01
—
0425310002
DMERC-LIVONIA OFFICE
MI
01
—
0425310003
DMERC-MACOMB OFFICE
MI
01
—
0425310004
DMERC-WARREN OFFICE
MI
01
—
0E06273
BCBSM
MI
05
—
4211003-11
—
MI
01
—
CB9133
RAILROAD MEDICARE
MI
Enumeration date
04/13/2006
Last updated
10/03/2019
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