Healthcare Provider Details

I. General information

NPI: 1679884894
Provider Name (Legal Business Name): COLIN MATTHEW ROCK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2010
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5067 55TH ST NW
ROCHESTER MN
55901-3809
US

IV. Provider business mailing address

5067 55TH ST NW
ROCHESTER MN
55901-3809
US

V. Phone/Fax

Practice location:
  • Phone: 507-292-7070
  • Fax:
Mailing address:
  • Phone: 507-292-7070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number15749
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number80170
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD61137848
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: