Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roebuckderm LLC

Organization Nurse Practitioner · NPI 1750779708

Roebuckderm LLC is a Nurse Practitioner 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
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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