Individual
MICHAEL TODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-4460
Mailing address
6733 HOSLER RD, LEO, IN 46765-9760
(812) 360-8540
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
26022146A
IN
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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