Organization · Type 2 NPI

Grand Rapids Ear Nose & Throat Center PLLC

Otolaryngology Physician · Grand Rapids, MI

NPI number 1124052337 Active

Practice location

655 Kenmoor Ave SE, Suite A
Grand Rapids, MI 49546-8622

Call (616) 575-1212 Map

Fax (616) 575-1219

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed

Otolaryngology Physician: 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 and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1124052337

Grand Rapids Ear Nose & Throat Center PLLC's National Provider Identifier is 1124052337, issued on Jul 11, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 21, 2008.