Provider Demographics
NPI:1003852898
Name:HOARD, DANIEL B (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:B
Last Name:HOARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:28001 SCHOENHERR RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-4396
Mailing Address - Country:US
Mailing Address - Phone:586-558-9500
Mailing Address - Fax:586-558-9501
Practice Address - Street 1:28001 SCHOENHERR RD
Practice Address - Street 2:SUITE 3
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4396
Practice Address - Country:US
Practice Address - Phone:586-558-9500
Practice Address - Fax:586-558-9501
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2014-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301065957207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1487874186OtherGROUP NPI
MI4747738Medicaid
H16719Medicare UPIN
MI4747738Medicaid