Individual
DR. VITO ROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5111
(248) 964-5068
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301080183
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0950988
BCBSMI
—
01
—
11458648
CAQH
—
05
—
1346228459
—
MI
Enumeration date
01/09/2006
Last updated
10/26/2020
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