Individual
MICHAEL BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
(313) 450-4514
Mailing address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
(313) 450-4514
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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