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Individual

DR. MARCIA AILEEN BOCKBRADER

Active
Find providers by NPI
Individual

DR. MARCIA AILEEN BOCKBRADER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD PHD

Taxonomy

Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
208100000X
Physical Medicine & Rehabilitation Physician
35120118
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301510627
MI
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
35120118
OH
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
4301510627
MI
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
35120118
OH
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
4301510627
MI
246ZE0500X
EEG Specialist/Technologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
OH
Enumeration date
06/12/2009
Last updated
06/29/2026
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