Individual
ROBERT L DOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20276 MIDDLEBELT RD, SUITE 2, LIVONIA, MI 48152-2054
(248) 476-4900
(248) 476-5435
Mailing address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101006350
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H24970
BCBS
MI
01
—
0H261380
BCBSM
MI
05
—
4143191
—
MI
05
—
4387070
—
MI
01
—
OM91510
MEDICARE PTAN
MI
Enumeration date
01/31/2006
Last updated
02/21/2019
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