| NPI | 1982196325 |
|---|---|
| Doing Business As | SOUTHEAST MICHIGAN EAR, NOSE AND THROAT |
| Entity Type | Organization |
| Authorized Contact | DANNY T KEWSON Owner 313-562-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-08-17 |