institution
Center For Ear,nose And Throat Pc
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in West Bloomfield, Michigan
NPI 1083659932

Center For Ear,nose And Throat Pc is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in West Bloomfield, MI and is specialized in Plastic Surgery within the Head & Neck. Center For Ear,nose And Throat Pc practices in West Bloomfield, MI. The NPI Number for Center For Ear,nose And Throat Pc is 1083659932 and holds a License No. 5101010029 (Michigan).

The current practice location address for Center For Ear,nose And Throat Pc is 2300 Haggerty Road, West Bloomfield, MI and can be reached out via phone at 248-668-1104 and via fax at 248-668-1096.

Location: 2300 Haggerty Road, West Bloomfield, MI, 48323-2191
institution
Provider Profile Details
NPI Number
1083659932
Provider Name
Center For Ear,nose And Throat Pc
Credential
Provider Entity Type
Organization
Address
2300 Haggerty Road, West Bloomfield, MI, 48323-2191
Phone Number
248-668-1104
Fax Number
248-668-1096
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4233036 01 MI AETNA
040F338670 01 MI BCN
82908 01 MI PHCS
F31235 01 MI HAP
101058 01 MI GREAT LAKES
4100372 05 MI
040015528 01 MI RAILROAD MEDICARE
0456336254 01 MI BCBC BCN
B9900 01 MI MCARE
2886 01 MI CAPE
040F338670 01 MI BCBS GROUP
1009579 01 MI GREAT WEST
107796 01 MI CARE CHOICES
12043 01 MI DMC
institution
Provider Business Practice Location Address Details
Address
2300 Haggerty Road
City
State
Zip
48323
Phone Number
248-668-1104
Fax Number
248-668-1096
person
Provider Business Mailing Address Details
Address
2300 Haggerty Road
City
State
Zip
48323
Phone Number
248-668-1104
Fax Number
248-668-1096
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
License No.
5101010029 (Michigan)
Definition
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.
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