Individual
MARC P BOCKNEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2632 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-5510
(248) 684-5220
Mailing address
2632 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-5510
(248) 684-5220
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MB006783
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518141
—
MI
Enumeration date
01/17/2006
Last updated
07/08/2007
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