Individual
MICHAEL DAVID REBOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
28050 GRAND RIVER AVE STE 208, FARMINGTON HILLS, MI 48336-5919
(248) 471-8030
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101011373
MI
208600000X
Surgery Physician
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
06/01/2026
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