Healthcare Provider Details

I. General information

NPI: 1407642986
Provider Name (Legal Business Name): DANIEL NAUGHTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAN NAUGHTON MD

II. Dates (important events)

Enumeration Date: 04/19/2025
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GENESYS PKWY
GRAND BLANC MI
48439-8065
US

IV. Provider business mailing address

1 GENESYS PKWY
GRAND BLANC MI
48439-8065
US

V. Phone/Fax

Practice location:
  • Phone: 810-606-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4351056522
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: