Organization · Type 2 NPI
Northwoods Ear, Nose & Throat PC
Facial Plastic Surgery Physician · Petoskey, MI
NPI number
1356394803
Active
Practice location
2611 Charlevoix Ave
Petoskey, MI 49770-8524
Fax (231) 348-5901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | 5101015870 (MI) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Another provider at this address
About NPI 1356394803
Northwoods Ear, Nose & Throat PC's National Provider Identifier is 1356394803, issued on May 18, 2006. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Petoskey, MI. The record was last updated on May 11, 2012.