Ent Surgical Assoc Pc in Madison Heights - Otolaryngic Allergy

Ent Surgical Assoc Pc - NPI 1225073687

Ent Surgical Assoc Pc is a Otolaryngic Allergy in Madison Heights, Michigan. Ent Surgical Assoc Pc practices all healthcare services and medical treatments related to Otolaryngic Allergy. The NPI Number for Ent Surgical Assoc Pc is 1225073687. The last update date is 2011-09-21.

Ent Surgical Assoc Pc's current location address is 27483 Dequindre Rd Ste 201, Madison Heights, Michigan. You can contact this provider via phone number 2485410100 and fax number 2483993960. The mailing address for Ent Surgical Assoc Pc is 27483 Dequindre Rd Ste 201, Madison Heights, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ent Surgical Assoc Pc
Address 27483 Dequindre Rd Ste 201, Madison Heights, Michigan
Phone Number 2485410100
Fax Number 2483993960
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO PRESID
Authorized Official Name Brandes L Warren
Credentials DO
Telephone Number 2485410100

NPI Number Detail

NPI Number 1225073687
Provider Enumeration Date 2006-06-19
Last Updated Date 2011-09-21

Provider Mailing Address Detail

Address 27483 Dequindre Rd Ste 201
City Madison Heights
State Michigan (MI)
Post Code 480715711
Phone Number 2485410100
Fax Number 2483993960

Provider's Primary Taxonomy Detail

Speciality Otolaryngic Allergy
Taxonomy 207Yx0602X
Definition:
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
040F31200 MI BCBS MI

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FAQs about Ent Surgical Assoc Pc

What is the unique 10-digit identification code issued to Ent Surgical Assoc Pc by the Centers for Medicare & Medicaid Services?

The Ent Surgical Assoc Pc has been assigned the NPI (National Provider Identifier) 1225073687 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Ent Surgical Assoc Pc is geographically located?

The Ent Surgical Assoc Pc is physically situated at the following location: 27483 Dequindre Rd Ste 201, Madison Heights, MI, 480715711.

What is the area of specialization for Ent Surgical Assoc Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ent Surgical Assoc Pc is Otolaryngic Allergy, and the corresponding taxonomy code that categorizes this area of expertise is 207Yx0602X.

On what date did the Ent Surgical Assoc Pc receive the assignment of its 1225073687 from the Centers for Medicare & Medicaid Services?

The Ent Surgical Assoc Pc was issued its 1225073687 by the Centers for Medicare & Medicaid Services on 2006-06-19.

When was the information regarding Ent Surgical Assoc Pc most recently updated?

The details pertaining to the Ent Surgical Assoc Pc, including its address, specialty, and other relevant information, were last refreshed on 2011-09-21.

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