Organization
MICHAEL E ROLLINS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E ROLLINS MD (OWNER)
(313) 882-1731
Entity
Organization
Contact information
Practice address
17770 MACK AVE, GROSSE POINTE, MI 48230-6248
(313) 882-1731
(313) 881-1234
Mailing address
17770 MACK AVE, GROSSE POINTE, MI 48230-6248
(313) 882-1731
(313) 881-1234
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MR026378
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0408260841
BCBS
MI
05
—
2098524
—
MI
Enumeration date
09/02/2005
Last updated
08/22/2020
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