Individual
MS. MICHELE MARIE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2725 AIRVIEW BLVD STE 105, PORTAGE, MI 49002-1804
(269) 349-8386
Mailing address
PO BOX 40412, BELFAST, ME 04915-1255
(269) 349-8386
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11018201
MI
Other
Enumeration date
07/13/2016
Last updated
05/12/2026
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