| 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 | |
| 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 | 2023-11-29 |