Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Roebuckderm LLC

Organization Nurse Practitioner · NPI 1750779708

Roebuckderm LLC provides Nurse Practitioner services in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5807 W Maple Rd Ste 171
West Bloomfield, MI 48322-4483 Not confirmed with CMS for 11 years — call before visiting
Phone: (248) 932-2607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4301065408 (MI)

Record details

NPI number1750779708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Roebuck — President · (248) 932-2607
NPI enumeratedDecember 29, 2014
Last updated in NPPESDecember 29, 2014
Mailing address5807 W Maple Rd Ste 171, West Bloomfield, MI 48322-4483

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