Individual
DR. MICHAEL D ROCHELEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14 S BRYN MAUR AVE #112, BRYN MAUR, PA 19010
(610) 519-1099
(610) 519-9290
Mailing address
14 S BRYN MAUR AVE #112, BRYN MAUR, PA 19010
(610) 519-1099
(610) 519-9290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS028958L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
529922
UNITED CONCORDIA
—
Enumeration date
08/05/2006
Last updated
07/08/2007
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