NPI | 1073560355 |
---|---|
Doing Business As | MICHIGAN EAR NOSE AND THROAT |
Entity Type | Organization |
Authorized Contact | BASHAR SUCCAR Owner 248-334-9490 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Enumeration Date | 2006-05-30 |
Last Update Date | 2015-04-07 |