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EAR NOSE & THROAT INSTITUTE OF MICHIGAN PLLC NPI 1134378730


NPI Information

NPI: 1134378730
Provider Name: EAR, NOSE & THROAT INSTITUTE OF MICHIGAN, PLLC
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
14555 LEVAN RD
SUITE 206
LIVONIA, MI
ZIP 48154
Phone: (734) 953-0990
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EAR, NOSE & THROAT INSTITUTE OF MICHIGAN, PLLC is an otolaryngology/facial plastic surgery otolaryngology in Livonia, MI. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. EAR, NOSE & THROAT INSTITUTE OF MICHIGAN, PLLC NPI is 1134378730. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14555 LEVAN RD
SUITE 206
LIVONIA, MI
ZIP 48154-083
Phone: (734) 953-0990
Fax: (734) 953-0996

The provider's authorized official is Mark Uzansky .
The authorized official title is Owner and has the following contact phone number (734) 953-0990.

The enumeration date for this NPI number is 9/18/2008 and was last updated on 1/10/2013.


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
1207YP0228XOtolaryngologyPediatric OtolaryngologyMU012523MICHIGANNo
2207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryMU012523MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M80400001MEDICARE PINMICHIGAN
20M80400MEDICARE PINMICHIGAN

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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