institution
Northwoods Ear, Nose & Throat Pc
Facial Plastic Surgery Physician in Petoskey, Michigan
NPI 1356394803

Northwoods Ear, Nose & Throat Pc is a Facial Plastic Surgery Physician based in Petoskey, MI and is specialized in Facial Plastic Surgery. Northwoods Ear, Nose & Throat Pc practices in Petoskey, MI. The NPI Number for Northwoods Ear, Nose & Throat Pc is 1356394803 and holds a License No. 5101015870 (Michigan).

The current practice location address for Northwoods Ear, Nose & Throat Pc is 2611 Charlevoix Ave, Petoskey, MI and can be reached out via phone at 231-348-5900 and via fax at 231-348-5901.

Location: 2611 Charlevoix Ave, Petoskey, MI, 49770-8524
institution
Provider Profile Details
NPI Number
1356394803
Provider Name
Northwoods Ear, Nose & Throat Pc
Credential
Provider Entity Type
Organization
Address
2611 Charlevoix Ave, Petoskey, MI, 49770-8524
Phone Number
231-348-5900
Fax Number
231-348-5901
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4832946-11 05 MI
1751601125 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
2611 Charlevoix Ave
City
State
Zip
49770-8524
Phone Number
231-348-5900
Fax Number
231-348-5901
person
Provider Business Mailing Address Details
Address
2611 Charlevoix Ave
City
State
Zip
49770-8524
Phone Number
231-348-5900
Fax Number
231-348-5901
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
License No.
5101015870 (Michigan)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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