Individual
DAVID LAURENCE ROCKWELL
Active
Individual
DAVID LAURENCE ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
DR050067
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103245
PREFERRED CHOICES
MI
01
—
1100590001
MEDICARE DMERC
MI
01
—
180029797
MEDICARE RAILROAD
MI
01
—
1808300181
BCBS OF MI
MI
05
—
2622458
—
MI
Enumeration date
12/16/2005
Last updated
04/20/2010
Update your record
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