Center For Ear,nose And Throat PC
Otolaryngology, Plastic Surgery within the Head & Neck in West Bloomfield, MI. Organization (NPI-2).
NPI number1083659932
StatusActive
Last updated in NPPESFeb 6, 2019
Details
- NPI
- 1083659932
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Ear,nose And Throat PC
- Organization subpart
- No
- Enumeration date
- Jun 17, 2006
- Last updated
- Feb 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0007X | Otolaryngology, Plastic Surgery within the Head & Neck | 5101010029 | MI | Yes |
Practice location
2300 Haggerty RoadSuite 2130
West Bloomfield, MI 48323
Phone 248-668-1104 · Fax 248-668-1096
Mailing address
2300 Haggerty Rd Ste 2130West Bloomfield, MI 48323-2191
Phone 248-668-1104 · Fax 248-668-1096
Other practice locations
Authorized official
Steven Joe Kin
Owner/Physician
2486681104
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