| NPI | 1376820605 |
|---|---|
| Doing Business As | LAKESHORE ENT CENTER |
| Doing Business As | HENRY FORD ST. JOHN HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | RACHEL R PERRY Manager 248-221-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck | |
| 207YX0901X Otolaryngology, Otology & Neurotology | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2025-04-16 |