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1972773158
TODD MARSHALL ROARK
WARREN, MI
NPI
1972773158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MI 4704229946)
Enumeration Date
2008-03-04
Last Update Date
2021-02-22
Business Address
TODD MARSHALL ROARK NP
11800 E 12 MILE RD
WARREN, MI 48093-3472
Phone number: 586-573-5402
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Mailing Address
TODD MARSHALL ROARK NP
333 E MAPLEHURST ST
FERNDALE, MI 48220-1374
Phone number: 586-573-5402
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