Theriault, Martin Daniel

Theriault, Martin Daniel is an sole proprietor health care provider with primary practice located at 3518 Rochester Rd , Royal Oak MI 48073-2815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Theriault, Martin Daniel can be contacted via phone (207) 239-9250.

Contact Information

Primary practice address
3518 Rochester Rd Royal Oak MI 48073-2815
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301508399 Michigan

Profile Details

NPI number 1689291270
LBN Legal business name Theriault, Martin Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2020
Last updated Jun 4th, 2024 - about 2 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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