Individual
PAUL BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4230 COPPER RIDGE DR BLDG E, TRAVERSE CITY, MI 49684-7256
(231) 935-6716
Mailing address
3083 OSPREY DR, INTERLOCHEN, MI 49643-9383
(231) 620-8721
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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