Dr. Gregory C. Roche
Otolaryngologist (ENT Doctor)
43494 S. Woodward Ave Suite 101
Bloomfield Hills
, Michigan 48302
Dr. Gregory C. Roche
Otolaryngologist (ENT Doctor)
43494 S. Woodward Ave Suite 101
Bloomfield Hills
, Michigan 48302
(248) 338-5547
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Gregory C. Roche
- 50 N Perry St
- Pontiac, MI
- Zip : 48342-2217
- Fax : (248) 338-5547
- Phone : (248) 338-5516
Second Address
- Dr. Gregory C. Roche
- 43494 S. Woodward Ave Suite 101
- Bloomfield Hills, MI
- Zip : 48302
- Fax : (248) 338-4590
- Phone : (248) 338-1110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 5101007111 | MI |
National Provider Identifier
| NPI | 1063436897 |
|---|---|
| Provider Name | Dr. Gregory C. Roche |
| First Address | Pontiac, MI 48342-2217 |
| Second Address | Bloomfield Hills, MI 48302 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A73602 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.