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Individual

ADAM ROURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
5101017814
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700F399670
BCBSM GROUP PIN
MI
Enumeration date
08/15/2008
Last updated
09/11/2014
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