Provider Demographics
NPI:1487874186
Name:DANIEL B HOARD MD PLLC
Entity type:Organization
Organization Name:DANIEL B HOARD MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:HOARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-626-0135
Mailing Address - Street 1:28300 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 222
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3704
Mailing Address - Country:US
Mailing Address - Phone:248-626-0135
Mailing Address - Fax:248-626-0150
Practice Address - Street 1:28300 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 222
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3704
Practice Address - Country:US
Practice Address - Phone:248-626-0135
Practice Address - Fax:248-626-0150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P19560OtherGROUP NPI
MI4747738Medicaid
MIH16719Medicare UPIN
MI0P19560OtherGROUP NPI
MI4747738Medicaid