Provider Demographics
NPI:1336110329
Name:DR. TODD'S PEDIATRICS, PC
Entity Type:Organization
Organization Name:DR. TODD'S PEDIATRICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:MARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-266-2780
Mailing Address - Street 1:36650 5 MILE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1951
Mailing Address - Country:US
Mailing Address - Phone:734-464-7700
Mailing Address - Fax:734-953-4259
Practice Address - Street 1:36650 5 MILE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1951
Practice Address - Country:US
Practice Address - Phone:734-464-7700
Practice Address - Fax:734-953-4259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty