Individual
DR. KURT M ROECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7581 SECOR RD, LAMBERTVILLE, MI 48144-9624
(734) 856-6360
(734) 856-6364
Mailing address
7581 SECOR RD, LAMBERTVILLE, MI 48144-9624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3401539
OH
207Q00000X
Family Medicine Physician
Primary
5101013387
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0855811754
BCBS OF MICHIGAN
MI
05
—
4506636
—
MI
Enumeration date
10/11/2005
Last updated
05/10/2024
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