NPI 1538149679 · live from the CMS NPI Registry
Marc P Bocknek, D.O.
Pediatrics, Adolescent Medicine in Highland, MI. National Provider Identifier 1538149679, active.
NPI record
| NPI | 1538149679 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 2632 S Milford Rd, Highland, MI 48357 |
| Practice phone | 248-684-5510 |
| Enumerated | January 17, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | MB006783 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.