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Individual

BROCK MICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-5451
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-5451

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32721
NE

Other

Enumeration date
06/21/2017
Last updated
08/05/2021
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