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 |