| NPI | 1629163217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L GWINN President 586-799-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MI KG050974) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-10-02 |