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Individual

DR. GARY L TROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3555 W 13 MILE RD STE N120, ROYAL OAK, MI 48073-6710
(855) 863-8761
(248) 551-9487
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301042190
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1333405
MI
Enumeration date
12/01/2005
Last updated
10/23/2020
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