Individual
BRUCE JOHN ROCHEFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1865
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301066005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104363524
—
MI
01
—
138527
GREAT LAKES HEALTH PLAN
MI
01
—
160H261380
BCBSM/BCN
MI
05
—
4312650
—
MI
01
—
47190
OMNICARE HEALTH PLAN
MI
01
—
7772271
AETNA
MI
01
—
P104516
BCN
MI
Enumeration date
05/11/2006
Last updated
07/25/2022
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