Organization · Type 2 NPI

Comprehensive Ear, Nose and Throat PC

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

NPI number 1619009008 Active

Practice location

1179 E Paris Ave SE, Suite 102
Grand Rapids, MI 49546-8371

Specialties and licenses

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…

17 other providers at this address

About NPI 1619009008

Comprehensive Ear, Nose and Throat PC's National Provider Identifier is 1619009008, issued on Mar 12, 2007. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 1, 2008.