| NPI | 1811178684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN C RESCHAK Director 810-694-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI WR010496) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI SM007572) |
| 207Y00000X Otolaryngology (Licence: MI SR014325) | |
| 207Y00000X Otolaryngology | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| 231H00000X Audiologist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2020-10-07 |