Provider Demographics
NPI:1457464273
Name:BEST, TODD T (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:T
Last Name:BEST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 HIGHLAND
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328
Mailing Address - Country:US
Mailing Address - Phone:248-683-5019
Mailing Address - Fax:248-683-9506
Practice Address - Street 1:4000 HIGHLAND
Practice Address - Street 2:# 107
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-2163
Practice Address - Country:US
Practice Address - Phone:248-683-5019
Practice Address - Fax:248-683-9506
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301051575208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
F00413Medicare UPIN
MI2941208Medicaid
MI2941208Medicaid