Organization
MARTIN I. SCHOCK, MD PC
Active
Other names
Martin I Schock
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN IRVIN SCHOCK M.D. (PRESIDENT)
(586) 276-8131
Entity
Organization
Contact information
Practice address
31700 VAN DYKE AVE, SUITE 110, WARREN, MI 48093-7949
(586) 276-8131
(586) 276-8101
Mailing address
6039 HICKORY TREE TRL, BLOOMFIELD HILLS, MI 48301-1341
(586) 276-8131
(586) 276-8101
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
4301027896
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1405362
—
MI
Enumeration date
08/03/2009
Last updated
08/03/2009
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