Organization
LAWRENCE L .STOCKER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE STOCKER MD (PRESEDENT)
(248) 737-6955
Entity
Organization
Contact information
Practice address
6010 W MAPLE RD, #200, WEST BLOOMFIELD, MI 48322-4406
(248) 737-6955
(248) 737-8759
Mailing address
6010 W MAPLE RD, #200, WEST BLOOMFIELD, MI 48322-4406
(248) 737-6955
(248) 737-8759
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301015492
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1806385211
BCBSM
MI
Enumeration date
05/30/2008
Last updated
05/30/2008
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