Individual
DR. ROBERT D PROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 SUPERIOR AVE, MUNSTER, IN 46321-4037
(219) 934-4008
(219) 934-4010
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01059232A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200496620
—
IN
Enumeration date
07/13/2005
Last updated
09/12/2023
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