Lakeshore Ear Nose And Throat Center Pc

NPI 1033202023 - Otolaryngology - 207Y00000X

NPI Details
NPI 1033202023
Enumeration Date 10/02/2006
Last Updated 10/12/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DANIEL DJ DANIEL
Position PRESIDENT CHIEF EXECUTIVE OFFICE
Phone (586) 779-7610
Fax
Practice Location
21000 E 12 MILE RD
SUITE 111
SAINT CLAIR SHORES MI, 48081-1116, US
Phone (586) 779-7610
Fax
Business Location
21000 E 12 MILE RD
SUITE 111
SAINT CLAIR SHORES MI, 48081-1116, US
Phone (586) 779-7610
Fax
Toxanomy
Taxonomy Code 207Y00000X
License State
License Number
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According to our database, Lakeshore Ear Nose And Throat Center Pc NPI is 1033202023, taxonomy code is 207Y00000X Lakeshore Ear Nose And Throat Center Pc physically located at 21000 E 12 Mile Rd, Saint Clair Shores MI, 48081-1116. NPI Number 1033115704 has the healthcare provider type.

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1033202023 NPI number is provided on an as is basis without warranty of any kind. 1033202023 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeshore Ear Nose And Throat Center Pc are for informational purposes only.