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Physicians Otolaryngology Facial Plastic Surgery

Provider NPI: 1356394803

Organization Information:
Organization is not Subpart
Authorized Official:  JAMES J SLATER  OWNER  231-348-5900

Practice Location:
Tel: 231-348-5900  Fax: 231-348-5901

Business Mailing Address:
Tel: 231-348-5900  Fax: 231-348-5901

NPI Information:
NPI: 1356394803
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Facial Plastic Surgery

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207YS0123X





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