Doctor profile · Federal record
Dr. Theodore Daniel, MD
Pediatrics Physician · Saint Clair Shores, MI
- NPI 1689641615
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
20225 E 9 Mile RD, Suite A
Saint Clair Shores, MI 480801775
(586) 772-1090
fax (586) 772-4366
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- April 7, 2014
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Michigan #4301047561
- Medicaid
- MI #4373576
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689641615. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$94
Transactions
5
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Cranial Technologies, INC | 3 | $54.14 | |
| Ironshore Pharmaceuticals INC. | 1 | $22.09 | |
| Aytu BioPharma, INC. | 1 | $17.82 |
By nature of payment
Frequently asked questions
What is Dr. Theodore Daniel's medical specialty?
Dr. Theodore Daniel practices Pediatrics Physician in Saint Clair Shores, MI.
Where does Dr. Theodore Daniel practice?
Dr. Theodore Daniel practices at 20225 E 9 Mile RD, Saint Clair Shores, MI 480801775. Office phone: 5867721090.
What is Dr. Theodore Daniel's NPI?
Dr. Theodore Daniel's National Provider Identifier (NPI) is 1689641615, issued by NPPES.