| NPI | 1538568696 |
|---|---|
| Doing Business As | PEDIATRIC ENT CLINIC OF MICHIGAN |
| Entity Type | Organization |
| Authorized Contact | JAMES COTICCHIA President 248-652-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: MI 4301082703) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2015-05-29 |