Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore A Daniel Jr., MD

Individual provider Pediatrics Physician · NPI 1689641615

Theodore A Daniel Jr., MD is a Pediatrics Physician in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20225 E 9 Mile Rd Ste A
Saint Clair Shores, MI 48080-1775
Phone: (586) 772-1090
Fax: (586) 772-4366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301047561 (MI)

Record details

NPI number1689641615
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESApril 7, 2014
Mailing address20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080-1775

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