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SAULT OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC NPI 1699028613


NPI Information

NPI: 1699028613
Provider Name: SAULT OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
333 MAGAZINE ST
STE 101
SAULT SAINTE MARIE, MI
ZIP 49783
Phone: (906) 259-0244
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SAULT OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC is an otolaryngology/facial plastic surgery otolaryngology in Sault Sainte Marie, MI. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. SAULT OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC NPI is 1699028613. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

333 MAGAZINE ST
STE 101
SAULT SAINTE MARIE, MI
ZIP 49783-867
Phone: (906) 259-0244
Fax: (906) 259-0247

The provider's authorized official is Mark A Wallace .
The authorized official title is President and has the following contact phone number (808) 937-7037.

The enumeration date for this NPI number is 10/16/2012 and was last updated on 10/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery5101015234MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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