| NPI | 1124052337 |
|---|---|
| Former Legal Business Name | EAR, NOSE AND THROAT CENTER, P.C. |
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL KOSTA President 616-575-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-07-21 |