Grand Rapids Ear Nose & Throat Center Pllc in Grand Rapids - Otolaryngology
Grand Rapids Ear Nose & Throat Center Pllc - NPI 1124052337
Grand Rapids Ear Nose & Throat Center Pllc is a Otolaryngology in Grand Rapids, Michigan. Grand Rapids Ear Nose & Throat Center Pllc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Grand Rapids Ear Nose & Throat Center Pllc is 1124052337. The last update date is 2008-07-21.
Grand Rapids Ear Nose & Throat Center Pllc's current location address is 655 Kenmoor Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6165751212 and fax number 6165751219. The mailing address for Grand Rapids Ear Nose & Throat Center Pllc is 655 Kenmoor Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Rapids Ear Nose & Throat Center Pllc |
|---|---|
| Address | 655 Kenmoor Ave Se, Grand Rapids, Michigan |
| Phone Number | 6165751212 |
| Fax Number | 6165751219 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kosta Michael John |
| Credentials | M.D. |
| Telephone Number | 6165751212 |
NPI Number Detail
| NPI Number | 1124052337 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2008-07-21 |
Provider Mailing Address Detail
| Address | 655 Kenmoor Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495468622 |
| Phone Number | 6165751212 |
| Fax Number | 6165751219 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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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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What is the Grand Rapids Ear Nose & Throat Center Pllc's 1124052337?
The Grand Rapids Ear Nose & Throat Center Pllc's NPI (National Provider Identifier) Number is 1124052337. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Grand Rapids Ear Nose & Throat Center Pllc is physically located?
The Grand Rapids Ear Nose & Throat Center Pllc is physically situated at the following address: 655 Kenmoor Ave Se, Grand Rapids, MI, 495468622.
What is Grand Rapids Ear Nose & Throat Center Pllc's area of expertise and its corresponding taxonomy classification?
The Grand Rapids Ear Nose & Throat Center Pllc's field of specialization is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124052337 to Grand Rapids Ear Nose & Throat Center Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1124052337 to Grand Rapids Ear Nose & Throat Center Pllc on 2006-07-11.
When was the information regarding Grand Rapids Ear Nose & Throat Center Pllc most recently updated?
The details pertaining to the Grand Rapids Ear Nose & Throat Center Pllc, including its address, specialty, and other relevant information, were last refreshed on 2008-07-21.
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