Organization
JAMES E. ROCCO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ROCCO (MD)
(906) 229-9080
Entity
Organization
Contact information
Practice address
601 SUNDAY LAKE ST, WAKEFIELD, MI 49968-1341
(906) 229-9080
(906) 229-9083
Mailing address
601 SUNDAY LAKE ST, WAKEFIELD, MI 49968-1341
(906) 229-9080
(906) 229-9083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301055264
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010064954
RR MEDICARE
—
05
—
4264885
—
MI
Enumeration date
01/12/2008
Last updated
10/07/2010
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