Individual
DR. JAMES EMIL ROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
05
—
31845100
—
WI
05
—
4264885
—
MI
01
—
4301055264
MICHIGAN LICENSE NUMBER
MI
Enumeration date
10/10/2006
Last updated
07/08/2007
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