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Search › Michigan › 111N00000X

Wallace Rozefort, DC

NPI 1992461123 · on the registry since 2021 · sole proprietor

Practice

Address
20755 Greenfield Rd
Southfield, MI 48075
Phone
(248) 595-8289
Organisation at this address
Divi Md Pc
Detroit Eye Care
Detroit Eye Care
Shariot Care, Llc
Laz Medical Group Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
111N00000X
111N00000X
Also registered as
111N00000X
111N00000X
Licence states on file
MI, FL, KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan