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NPI Code Detail

MEDICARE: DR. DANA ELISE ROCKWELL D.O.

MEDICARE:  DR. DANA ELISE ROCKWELL  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RR0500XRheumatology Physician5101019930MI

General Provider Information

NPI Number : 1912261686
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA ELISE ROCKWELL D.O.
Provider Business Mailing Address
First Line : 1701 SOUTH BLVD E STE 140
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-6118
Country : US
Telephone Number : 248-853-0803
Fax Number : 248-852-5859
Provider Business Practice Location Address
First Line : 1701 SOUTH BLVD E STE 110
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-6118
Country : US
Telephone Number : 248-853-0803
Fax Number : 248-852-5859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2012
Last Update Date : 10/08/2019

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Directions to “ DR. DANA ELISE ROCKWELL D.O.” Practice Location

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