| NPI | 1992986921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS KUBEK President 586-751-6034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MI DK012806) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |