Individual
DR. BROCK WELLS HORSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2790 HEALTH PKWY, MOUNT PLEASANT, MI 48858-6934
(989) 953-5320
(989) 802-8815
Mailing address
2790 HEALTH PKWY, MT PLEASANT, MI 48858-6934
(989) 953-5320
(989) 953-5329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101014871
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101842
PHYSICIANS HEALTH PLAN
MI
01
—
0853701105
BCBS OF MICHIGAN NUMBER
MI
01
—
1012731
MCLAREN HEALTH PLAN
MI
05
—
114637450
—
MI
01
—
610677100
US DEPT OF LABOR
MI
Enumeration date
03/21/2006
Last updated
02/13/2025
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