Provider Demographics
NPI:1154602944
Name:ROCKER, ERIC J (PA)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:J
Last Name:ROCKER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:920 W WACKERLY ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-2700
Mailing Address - Country:US
Mailing Address - Phone:989-839-9937
Mailing Address - Fax:989-839-9220
Practice Address - Street 1:920 W WACKERLY ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-2700
Practice Address - Country:US
Practice Address - Phone:989-839-9937
Practice Address - Fax:989-839-9220
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601006125363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant