Organization · Type 2 NPI

Michigan Ear, Nose, Throat & Allergy Specialist

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Grand Haven, MI

NPI number 1467853515 Active

Practice location

1445 Sheldon Rd Ste 300
Grand Haven, MI 49417-2479

Fax (616) 920-6533

Mailing address

393 Garden Ave
Holland, MI 49424-9602

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary 207YX0007X5101014678 (MI)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…

3 other providers at this address

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About NPI 1467853515

Michigan Ear, Nose, Throat & Allergy Specialist's National Provider Identifier is 1467853515, issued on Sep 9, 2014. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Grand Haven, MI. The record was last updated on Sep 9, 2014.