Individual
MICHAEL DAVID REBOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
28080 GRAND RIVER, 208 N, FARMINGTON HILLS, MI 48336
(248) 478-7733
(248) 478-3533
Mailing address
28080 GRAND RIVER, 208 N, FARMINGTON HILLS, MI 48336
(248) 478-7733
(248) 478-3533
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MR011373
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020F31144
BCBS OF MI
—
05
—
323358011
—
MI
Enumeration date
09/29/2006
Last updated
07/16/2013
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