Individual provider · Type 1 NPI

Todd Marshall Roark, NP

Acute Care Nurse Practitioner · Warren, MI

NPI number 1972773158 Active

Practice location

11800 E 12 Mile Rd
Warren, MI 48093-3472

Fax (586) 573-5580

Mailing address

333 E Maplehurst St
Ferndale, MI 48220-1374

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4704229946 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1972773158

Todd Marshall Roark, NP's National Provider Identifier is 1972773158, issued on Mar 4, 2008. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Warren, MI. The record was last updated on Feb 22, 2021.