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Individual

DANIEL J. BROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8655 MARKET STREET, MENTOR, OH 44060
(440) 255-7938
(440) 255-9196
Mailing address
P.O. BOX 714328, COLUMBUS, OH 43271-4328
(440) 255-7938
(440) 255-9196

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.090928
OH

Other

Enumeration date
05/08/2007
Last updated
02/25/2021
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