Northwoods Ear, Nose & Throat Pc in Petoskey - Facial Plastic Surgery
Northwoods Ear, Nose & Throat Pc - NPI 1356394803
Northwoods Ear, Nose & Throat Pc is a Facial Plastic Surgery in Petoskey, Michigan. Northwoods Ear, Nose & Throat Pc practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Northwoods Ear, Nose & Throat Pc is 1356394803. The last update date is 2012-05-11.
Northwoods Ear, Nose & Throat Pc's current location address is 2611 Charlevoix Ave, Petoskey, Michigan. You can contact this provider via phone number 2313485900 and fax number 2313485901. The mailing address for Northwoods Ear, Nose & Throat Pc is 2611 Charlevoix Ave, Petoskey, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwoods Ear, Nose & Throat Pc |
|---|---|
| Address | 2611 Charlevoix Ave, Petoskey, Michigan |
| Phone Number | 2313485900 |
| Fax Number | 2313485901 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Slater J James |
| Credentials | D.O. |
| Telephone Number | 2313485900 |
NPI Number Detail
| NPI Number | 1356394803 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2012-05-11 |
Provider Mailing Address Detail
| Address | 2611 Charlevoix Ave |
|---|---|
| City | Petoskey |
| State | Michigan (MI) |
| Post Code | 497708524 |
| Phone Number | 2313485900 |
| Fax Number | 2313485901 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
| Licence No | 5101015870 |
|
Definition: An otolaryngologist who specializes in facial plastic surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4832946-11 | MI | -- | |
| 1751601125 | MI | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Northwoods Ear, Nose & Throat Pc?
The Northwoods Ear, Nose & Throat Pc has been issued the NPI (National Provider Identifier) 1356394803 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Northwoods Ear, Nose & Throat Pc?
The Northwoods Ear, Nose & Throat Pc is physically situated at 2611 Charlevoix Ave, in the city of Petoskey, state of MI, with the postal code 497708524.
What is the Northwoods Ear, Nose & Throat Pc's specialty and taxonomy code?
The Northwoods Ear, Nose & Throat Pc's specialty is Facial Plastic Surgery, and the corresponding taxonomy code is 207Ys0123X.
On what date did the Northwoods Ear, Nose & Throat Pc receive its 1356394803 assignment from the Centers for Medicare & Medicaid Services?
The Northwoods Ear, Nose & Throat Pc was assigned its 1356394803 by the Centers for Medicare & Medicaid Services on 2006-05-18.
When was the Northwoods Ear, Nose & Throat Pc's information last updated?
The Northwoods Ear, Nose & Throat Pc's information was last updated on 2012-05-11.