Organization · Type 2 NPI

Michigan Specialty Clinic PLLC

Specialist · Dearborn, MI

NPI number 1760700660 Active

Practice location

13530 Michigan Ave, Suite 120
Dearborn, MI 48126-3583

Call (313) 945-9188 Map

Fax (313) 945-9184

Mailing address

13530 Michigan Ave Ste 400
Dearborn, MI 48126-3575

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Otolaryngology Physician 207Y00000X4301052487 (MI)
Sleep Medicine (Otolaryngology) Physician 207YS0012XNone listed
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X4301052487 (MI)
Otolaryngology/Facial Plastic Surgery Physician 207YX0905XNone listed
Plastic Surgery Physician 208200000X4301052487 (MI)
Plastic and Reconstructive Surgery Physician 2086S0122X4301052487 (MI)
Clinical Medical Laboratory 291U00000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1760700660

Michigan Specialty Clinic PLLC's National Provider Identifier is 1760700660, issued on May 17, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dearborn, MI. The record was last updated on Mar 10, 2020.