| NPI | 1538729710 |
|---|---|
| Professional Name | MICHAEL IPOCK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL APRN11002826) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11002826) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11002826) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2022-04-11 |