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Contact Information

CENTER FOR EAR,NOSE AND THROAT PC
2300 HAGGERTY ROAD
SUITE 2130
WEST BLOOMFIELD, MI48323
 Phone: 248-668-1104
 Fax: 248-668-1096
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CENTER FOR EARNOSE AND THROAT PC · (Female)

NPI Number 1083659932
Status Active
Credentials
Entity Individual
Enumeration date 06/17/2006
Last updated 02/06/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 5101010029
  • MI Medicaid 4100372
  • MI Other 4233036 AETNA
  • MI Other 0456336254 BCBC BCN
  • MI Other 040F338670 BCBS GROUP
  • MI Other 040F338670 BCN
  • MI Other 2886 CAPE
  • MI Other 107796 CARE CHOICES
  • MI Other 12043 DMC
  • MI Other 101058 GREAT LAKES
  • MI Other 1009579 GREAT WEST
  • MI Other F31235 HAP
  • MI Other B9900 MCARE
  • MI Other 82908 PHCS
  • MI Other 040015528 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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