Healthcare Provider Details

I. General information

NPI: 1487863148
Provider Name (Legal Business Name): DAVID T. TOUCHTON DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 GRISWOLD ST
PORT HURON MI
48060-5918
US

IV. Provider business mailing address

603 GRISWOLD ST
PORT HURON MI
48060-5918
US

V. Phone/Fax

Practice location:
  • Phone: 810-987-7444
  • Fax: 810-982-7214
Mailing address:
  • Phone: 810-987-7444
  • Fax: 810-982-7214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number5901000539
License Number StateMI

VIII. Authorized Official

Name: DR. DAVID T. TOUCHTON
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 810-987-7444