Gregory C. Roche D.O.

NPI 1063436897 - Otolaryngology - 207Y00000X

NPI Details
NPI 1063436897
Gender Male
Enumeration Date 07/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
43494 S. WOODWARD AVE
SUITE 101
BLOOMFIELD HILLS MI, 48302, US
Phone (248) 338-1110
Fax (248) 338-4590
Business Location
50 N PERRY ST
PONTIAC MI, 48342-2217, US
Phone (248) 338-5516
Fax (248) 338-5547
Toxanomy
Taxonomy Code 207Y00000X
License State Michigan
License Number 5101007111
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According to our database, Dr. Gregory C. Roche D.O. NPI is 1063436897, taxonomy code is 207Y00000X and license number is 5101007111, license state is located at Michigan. Gregory C. Roche D.O. physically located at 43494 S. Woodward Ave, Bloomfield Hills MI, 48302. NPI Number Gregory C. Roche D.O. has the Individual type.

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1063436897 NPI number is provided on an as is basis without warranty of any kind. 1063436897 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory C. Roche D.O. are for informational purposes only.