Organization · Type 2 NPI

Brock LLC

Clinic/Center · Southgate, MI

NPI number 1619649738 Active

Practice location

13685 Eureka Rd
Southgate, MI 48195-1332

Call (734) 984-3620 Map

Mailing address

31430 Lavender Dr
Brownstown, MI 48173-8743

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1619649738

Brock LLC's National Provider Identifier is 1619649738, issued on Sep 28, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Southgate, MI. The record was last updated on Feb 21, 2022.