Individual
DR. JEFFREY ALAN ROCHLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 N MAIN ST, ROYAL OAK, MI 48067-1840
(248) 543-8111
(248) 543-8120
Mailing address
26901 BEAUMONT BLVD # 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1952
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301070068
MI
208000000X
Pediatrics Physician
4301070068
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4412899
—
MI
01
—
11287110
CAQH PROVIDER ID #
—
01
—
38-2482550
COMMERCIAL ID #
—
01
—
700F372040
BCBS PROVIDER GROUP #
MI
01
—
G07355
BCN PROVIDER GROUP #
MI
01
—
JR070068
STATE LICENSE #
MI
Enumeration date
07/05/2006
Last updated
07/27/2022
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