Individual
DR. JOHN H BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5726
(410) 876-7921
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0054356
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184900000
—
MD
Enumeration date
07/04/2006
Last updated
10/23/2007
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