| Carol A. Roekle, M.d., P.c. | |
|
29994 Northwestern Hwy Ste H Farmington Hills MI 48334-3225 | |
| (248) 626-4444 | |
| Not Available |
| Full Name | Carol A. Roekle, M.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 29994 Northwestern Hwy Ste H, Farmington Hills, Michigan |
| Authorized Official Name and Position | Carol A Roekle (PRESIDENT) |
| Authorized Official Contact | 2486264444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A. Roekle, M.d., P.c. 1736 Point St Commerce Twp MI 48382-2273 Ph: (248) 626-4444 | Carol A. Roekle, M.d., P.c. 29994 Northwestern Hwy Ste H Farmington Hills MI 48334-3225 Ph: (248) 626-4444 |
| NPI Number | 1659419257 |
|---|---|
| Provider Enumeration Date | 02/03/2007 |
| Last Update Date | 12/15/2012 |
| Medicare PECOS PAC ID | 9335207448 |
|---|---|
| Medicare Enrollment ID | O20081017000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659419257 | NPI | - | NPPES |
| 4627408 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 4301030288 (Michigan) | Primary |
| Provider Name | Carol A Roekle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902944507 PECOS PAC ID: 8123095213 Enrollment ID: I20040916001137 |
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