COMPREHENSIVE EAR, NOSE AND THROAT PC
Organization (NPI-2)
Active
Otolaryngology, Plastic Surgery within the Head & Neck
Provider Information
- NPI Number
1619009008- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1179 E PARIS AVE SE SUITE 102, GRAND RAPIDS, MI, 495468371
- Phone
- (616) 942-0380
Specialties & Taxonomies
Otolaryngology, Plastic Surgery within the Head & Neck
License: MI #JE013840
Otolaryngology, Plastic Surgery within the Head & Neck
Primary License: MI #HH010730