Provider Demographics
NPI:1982750170
Name:LAUGHNER, TODD E (DPM)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:E
Last Name:LAUGHNER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7736 DOWNS CT
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:MI
Mailing Address - Zip Code:48623-8501
Mailing Address - Country:US
Mailing Address - Phone:989-692-0657
Mailing Address - Fax:
Practice Address - Street 1:4911 HEDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-1930
Practice Address - Country:US
Practice Address - Phone:989-631-8200
Practice Address - Fax:989-631-5901
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MITL001607213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIU47228Medicare UPIN
MI0E68062Medicare ID - Type Unspecified