Roark, Todd Marshall

Roark, Todd Marshall is an sole proprietor health care provider with primary practice located at 11800 E 12 Mile Rd , Warren MI 48093-3472. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Roark, Todd Marshall can be contacted via phone (586) 573-5402.

Contact Information

Primary practice address
11800 E 12 Mile Rd Warren MI 48093-3472
Phone: (586) 573-5402
Fax: (586) 573-5580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704229946 Michigan

Profile Details

NPI number 1972773158
LBN Legal business name Roark, Todd Marshall
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2008
Last updated Feb 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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