Individual
MICHELE L ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1577 CONGRESS ST, 2ND FLOOR, PORTLAND, ME 04102-2169
(207) 662-1622
(207) 774-1814
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
227777
MA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
2060
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30227312
—
NH
05
—
433909099
—
ME
Enumeration date
07/07/2006
Last updated
06/09/2011
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