Provider Demographics
NPI:1255774246
Name:BOJRAB, DENNIS ISAAC II (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:ISAAC
Last Name:BOJRAB
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:30055 NORTHWESTERN HWY
Mailing Address - Street 2:STE 101
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3260
Mailing Address - Country:US
Mailing Address - Phone:248-849-3000
Mailing Address - Fax:248-849-3000
Practice Address - Street 1:30055 NORTHWESTERN HWY STE 101
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3260
Practice Address - Country:US
Practice Address - Phone:248-849-3000
Practice Address - Fax:248-849-3000
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI390200000X
MI4301119143207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program