| University Otolaryngology | |
|
4201 Saint Antoine St Suite 5g Detroit MI 48201-2153 | |
| (313) 745-4656 | |
| Not Available |
| Full Name | University Otolaryngology |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 4201 Saint Antoine St, Detroit, Michigan |
| Authorized Official Name and Position | Sharon Branka (COORDINATOR) |
| Authorized Official Contact | 3137451740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Otolaryngology 3800 Woodward Ave Suite 600 Detroit MI 48201-2061 Ph: () - | University Otolaryngology 4201 Saint Antoine St Suite 5g Detroit MI 48201-2153 Ph: (313) 745-4656 |
| NPI Number | 1063537462 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063537462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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