Individual
DR. TODD B PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2251 N SQUIRREL RD, SUITE 105, AUBURN HILLS, MI 48326-4600
(248) 648-8100
(248) 648-8060
Mailing address
2251 N SQUIRREL RD, SUITE 105, AUBURN HILLS, MI 48326-4600
(248) 648-8100
(248) 648-8060
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301054694
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040631293
BCBSM
—
01
—
0M23890
MEDICARE GROUP #
MI
05
—
3394295
—
MI
Enumeration date
11/16/2005
Last updated
02/28/2018
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