| NPI | 1033133525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| 207YX0901X Otolaryngology, Otology & Neurotology | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-05-03 |