Individual
BROCK GENERALOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7641 MARKET ST STE 2, YOUNGSTOWN, OH 44512-5980
(330) 726-3724
(330) 726-3725
Mailing address
7629 MARKET ST STE 200, YOUNGSTOWN, OH 44512-6082
(330) 965-4540
(330) 965-4559
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
34-008611
OH
Other
Enumeration date
09/27/2006
Last updated
02/04/2015
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