Basic Information
| Provider Information | |||||||||
| NPI: | 1831533686 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCHERRON | ||||||||
| FirstName: | TODD | ||||||||
| MiddleName: | ROJAIH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1833 HAMILTON ST | ||||||||
| Address2: | |||||||||
| City: | HOLT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488421515 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5178960912 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1600 S CANTON CENTER RD | ||||||||
| Address2: | SUITE 220 | ||||||||
| City: | CANTON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481881992 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7343988790 | ||||||||
| FaxNumber: | 7343988680 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2013 | ||||||||
| LastUpdateDate: | 04/24/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.