| NPI | 1134378730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK UZANSKY Owner 734-953-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: MI MU012523) |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: MI MU012523) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2013-01-10 |