institution
Kenneth L Gwinn Md Pc
Otolaryngology/Facial Plastic Surgery Physician in Shelby Township, Michigan
NPI 1629163217

Kenneth L Gwinn Md Pc is a Otolaryngology/Facial Plastic Surgery Physician based in Chicago, MI and is specialized in Otolaryngology/Facial Plastic Surgery. Kenneth L Gwinn Md Pc practices in Shelby Township, MI. The NPI Number for Kenneth L Gwinn Md Pc is 1629163217 and holds a License No. KG050974 (Michigan).

The current practice location address for Kenneth L Gwinn Md Pc is 48681 Hayes Rd, Shelby Township, MI and can be reached out via phone at 586-799-1212. You can also correspond with Kenneth L Gwinn Md Pc through the mailing address at 1976 MOMENTUM PL, CHICAGO, IL - 60689-5319 (mailing address contact number: 586-799-1212).

Location: 48681 Hayes Rd, Shelby Township, MI, 60689-5319
institution
Provider Profile Details
NPI Number
1629163217
Provider Name
Kenneth L Gwinn Md Pc
Credential
Provider Entity Type
Organization
Address
48681 Hayes Rd, Shelby Township, MI, 60689-5319
Phone Number
586-799-1212
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C7134 01 MI MCARE HMO
0405011981 01 MI BCBS OF MICHIGAN
12795880 05 MI
000000009639 01 MI CAPE HEALTH
102795880 01 MI GREAT LAKES HEALTH PLAN
258611 01 MI OMNICARE
131442 01 MI PREFERRED CHOICES
institution
Provider Business Practice Location Address Details
Address
48681 Hayes Rd
City
State
Zip
48315
Phone Number
586-799-1212
Fax Number
person
Provider Business Mailing Address Details
Address
48681 Hayes Rd
City
State
Zip
48315
Phone Number
586-799-1212
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
License No.
KG050974 (Michigan)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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