person
Todd Marshall Roark, NP
Acute Care Nurse Practitioner in Warren, Michigan
NPI 1972773158

Todd Marshall Roark is an Acute Care Nurse Practitioner based in Ferndale, MI and is specialized in Acute Care. Todd Marshall Roark practices in Warren, MI and has the professional credentials of NP. The NPI Number for Todd Marshall Roark is 1972773158 and holds a License No. 4704229946 (Michigan).

The current practice location address for Todd Marshall Roark is 11800 E 12 Mile Rd, Warren, MI and can be reached out via phone at 586-573-5402 and via fax at 586-573-5580.

Location: 11800 E 12 Mile Rd, Warren, MI, 48220-1374
person
Provider Profile Details
NPI Number
1972773158
Provider Name
Todd Marshall Roark
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
11800 E 12 Mile Rd, Warren, MI, 48220-1374
Phone Number
586-573-5402
Fax Number
586-573-5580
Provider Enumeration Date
03/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11800 E 12 Mile Rd
City
State
Zip
48093-3472
Phone Number
586-573-5402
Fax Number
586-573-5580
person
Provider Business Mailing Address Details
Address
11800 E 12 Mile Rd
City
State
Zip
48093-3472
Phone Number
586-573-5402
Fax Number
586-573-5580
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
4704229946 (Michigan)
Definition
Definition to come...
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