| NPI | 1114632932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SUCCAR Owner 248-254-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-04-17 |