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NPI Profile for MICHIGAN EAR NOSE THROAT AND ALLERGY SPECIALIST in HOLLAND, MI.
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic Surgery within the Head & Neck |
207YX0007X | 04 | Physician/Otolaryngology | |
Allergy |
207KA0200X | 03 | Physician/Allergy/ Immunology | |
Audiologist |
231H00000X | 64 | Audiologist | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Plastic Surgery |
208200000X | 02 | Physician/General Surgery |
| NPI Number | 1477937555 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/17/2015 | |
| Last updated | 08/15/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MICHIGAN EAR, NOSE, THROAT AND ALLERGY SPECIALIST
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MICHIGAN EAR, NOSE, THROAT AND ALLERGY SPECIALIST