Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 4301065957 | MI |
NPI | 1003852898 |
---|---|
Provider Name | Daniel B Hoard |
First Address | Warren, MI 48088-4396 |
Second Address | Warren, MI 48088-4396 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 20/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1487874186 | GROUP NPI (01) | MI |
4747738 | (05) | MI |
H16719 | (02) |