Center For Ear,Nose And Throat Pc in West Bloomfield - Plastic Surgery Within The Head & Neck
Center For Ear,Nose And Throat Pc - NPI 1083659932
Center For Ear,Nose And Throat Pc is a Plastic Surgery Within The Head & Neck in West Bloomfield, Michigan. Center For Ear,Nose And Throat Pc practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Center For Ear,Nose And Throat Pc is 1083659932. The last update date is 2019-02-06.
Center For Ear,Nose And Throat Pc's current location address is 2300 Haggerty Rd Ste 2130, West Bloomfield, Michigan. You can contact this provider via phone number 2486681104 and fax number 2486681096. The mailing address for Center For Ear,Nose And Throat Pc is 2300 Haggerty Rd Ste 2130, West Bloomfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For Ear,Nose And Throat Pc |
|---|---|
| Address | 2300 Haggerty Rd Ste 2130, West Bloomfield, Michigan |
| Phone Number | 2486681104 |
| Fax Number | 2486681096 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Kin Joe Steven |
| Credentials | DO |
| Telephone Number | 2486681104 |
NPI Number Detail
| NPI Number | 1083659932 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2019-02-06 |
Provider Mailing Address Detail
| Address | 2300 Haggerty Rd Ste 2130 |
|---|---|
| City | West Bloomfield |
| State | Michigan (MI) |
| Post Code | 483232191 |
| Phone Number | 2486681104 |
| Fax Number | 2486681096 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | 5101010029 |
|
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4233036 | MI | AETNA | |
| 040F338670 | MI | BCN | |
| 82908 | MI | PHCS | |
| F31235 | MI | HAP | |
| 101058 | MI | GREAT LAKES | |
| 4100372 | MI | -- | |
| 40015528 | MI | RAILROAD MEDICARE | |
| 456336254 | MI | BCBC BCN | |
| B9900 | MI | MCARE | |
| 2886 | MI | CAPE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Center For Ear,Nose And Throat Pc by the Centers for Medicare & Medicaid Services?
The Center For Ear,Nose And Throat Pc has been issued the NPI (National Provider Identifier) 1083659932, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Center For Ear,Nose And Throat Pc's facilities are geographically located?
The facilities of Center For Ear,Nose And Throat Pc are physically situated at the following location: 2300 Haggerty Rd Ste 2130, West Bloomfield, MI, 483232191.
What is Center For Ear,Nose And Throat Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Center For Ear,Nose And Throat Pc is Plastic Surgery Within The Head & Neck, and the taxonomy code that classifies this field of practice is 207Yx0007X.
When was the Center For Ear,Nose And Throat Pc's 1083659932 issued?
The Center For Ear,Nose And Throat Pc's 1083659932 was issued on 2006-06-17.
When was the information pertaining to Center For Ear,Nose And Throat Pc most recently updated or revised?
The details related to Center For Ear,Nose And Throat Pc, including its address, specialty, and other relevant information, were last updated or revised on 2019-02-06.
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