Organization · NPI-2

Carol A. Roekle, M.D., P.C.

Clinic/Center, Mental Health (Including Community Mental Health Center) · Farmington Hills, MI

NPI number1659419257
StatusActive
Last updated in NPPESDec 15, 2012

Details

NPI
1659419257
Entity type
Organization (NPI-2)
Legal business name
Carol A. Roekle, M.D., P.C.
Organization subpart
No
Enumeration date
Feb 3, 2007
Last updated
Dec 15, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)4301030288MIYes

Practice location

29994 Northwestern Hwy Ste H
Farmington Hills, MI 48334-3225

Phone 248-626-4444

Mailing address

1736 Point St
Commerce Twp, MI 48382-2273

Phone 248-626-4444

Authorized official

Carol A Roekle
President
2486264444

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