West Michigan Ear Nose & Throat Plc in Portage - Otolaryngology

West Michigan Ear Nose & Throat Plc - NPI 1154365849

West Michigan Ear Nose & Throat Plc is a Otolaryngology in Portage, Michigan. West Michigan Ear Nose & Throat Plc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for West Michigan Ear Nose & Throat Plc is 1154365849. The last update date is 2015-12-22.

West Michigan Ear Nose & Throat Plc's current location address is 3850 Glenkerry Ct, Portage, Michigan. You can contact this provider via phone number 2693277200 and fax number 2693279272. The mailing address for West Michigan Ear Nose & Throat Plc is 3850 Glenkerry Ct, Portage, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization West Michigan Ear Nose & Throat Plc
Address 3850 Glenkerry Ct, Portage, Michigan
Phone Number 2693277200
Fax Number 2693279272
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ACCOUNT MA
Authorized Official Name Gaddy Latrece Tammye
Telephone Number 2693277200

NPI Number Detail

NPI Number 1154365849
Provider Enumeration Date 2006-06-15
Last Updated Date 2015-12-22

Provider Mailing Address Detail

Address 3850 Glenkerry Ct
City Portage
State Michigan (MI)
Post Code 49024
Phone Number 2693277200
Fax Number 2693279272

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No DR009649
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

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FAQs about West Michigan Ear Nose & Throat Plc

What is the unique identifier code issued to West Michigan Ear Nose & Throat Plc by the Centers for Medicare & Medicaid Services (CMS)?

The West Michigan Ear Nose & Throat Plc has been assigned the NPI (National Provider Identifier) 1154365849. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where West Michigan Ear Nose & Throat Plc's facilities are geographically located?

The facilities of West Michigan Ear Nose & Throat Plc are physically situated at the following location: 3850 Glenkerry Ct, Portage, MI, 49024.

What is West Michigan Ear Nose & Throat Plc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The West Michigan Ear Nose & Throat Plc's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.

On what date did the West Michigan Ear Nose & Throat Plc receive its 1154365849 assignment from the Centers for Medicare & Medicaid Services?

The West Michigan Ear Nose & Throat Plc was assigned its 1154365849 by the Centers for Medicare & Medicaid Services on 2006-06-15.

As of what date were the West Michigan Ear Nose & Throat Plc's details last updated?

The information pertaining to the West Michigan Ear Nose & Throat Plc, including its address, specialty, and other details, was most recently updated on 2015-12-22.

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