| NPI | 1467417428 |
|---|---|
| Other Name | PH OTOLARYNGOLOGY/PROVIDENCE HOSPITAL AND MEDICAL CENTERS INC |
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Supervisor, Enrollment 248-680-8212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2023-11-15 |