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Organization

MICHAEL D REBOCK DO PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL D REBOCK DO (OWNER)
(248) 478-7734
Entity
Organization

Contact information

Practice address
28080 GRAND RIVER AVE, SUITE 208 NORTH, FARMINGTON HILLS, MI 48336-5966
(248) 478-7734
Mailing address
28080 GRAND RIVER AVE, SUITE 208 NORTH, FARMINGTON HILLS, MI 48336-5966
(248) 478-7734
(248) 478-7789

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
323358011
MI
Enumeration date
01/16/2009
Last updated
01/16/2009
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