NPI | 1376820605 |
---|---|
Doing Business As | LAKESHORE ENT CENTER |
Entity Type | Organization |
Authorized Contact | SARAH STARKEL Credentialing Supervisor 248-680-8121 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology |
207YP0228X Otolaryngology, Pediatric Otolaryngology | |
207YS0123X Otolaryngology, Facial Plastic Surgery | |
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck | |
207YX0901X Otolaryngology, Otology & Neurotology | |
Enumeration Date | 2011-11-15 |
Last Update Date | 2023-11-29 |