| NPI | 1366476517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE S CHOMCHAI President 989-772-6848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MI 4301063374) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-10-26 |