Organization · Type 2 NPI

Ascension Providence Hospital

Otolaryngology Physician · Southfield, MI

NPI number 1467417428 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Call (248) 849-3000 Map

Fax (248) 849-2244

Mailing address

3168 Solutions Center Box 773168
Chicago, IL 60677-0001

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 1467417428

Ascension Providence Hospital's National Provider Identifier is 1467417428, issued on Apr 20, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Southfield, MI. The record was last updated on Nov 15, 2023.