Individual
MARK ALLEN ROLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44344 DEQUINDRE RD, STE. 110, STERLING HEIGHTS, MI 48314-1038
(586) 884-5160
(586) 884-5165
Mailing address
44344 DEQUINDRE RD, STE. 110, STERLING HEIGHTS, MI 48314-1038
(586) 884-5160
(586) 884-5165
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301058346
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F37820
BLUE CROSS BLUE SHIELD MICHIGAN
MI
01
—
180046164
RAILROAD MEDICARE
—
01
—
4575228
AETNA PROVIDER ID
MI
Enumeration date
06/06/2006
Last updated
10/30/2020
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