Ent Care Of Michigan Plc | |
5220 Highland Rd Ste 230, Waterford, MI 48327-1973 | |
(248) 254-8900 | |
(248) 599-7191 |
Full Name | Ent Care Of Michigan Plc |
---|---|
Type | Facility |
Speciality | Otolaryngology |
Location | 5220 Highland Rd Ste 230, Waterford, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114632932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Secondary |
207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
Provider Name | Kalee Easter |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1972160752 PECOS PAC ID: 3870827660 Enrollment ID: I20190627003119 |
Provider Name | Eric F Succar |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1124361621 PECOS PAC ID: 1456655299 Enrollment ID: I20190723000862 |
Provider Name | Marwan Boulis |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1861981763 PECOS PAC ID: 4880945328 Enrollment ID: I20230520000306 |
Provider Name | Lori Martin |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1689366122 PECOS PAC ID: 2961865126 Enrollment ID: I20230906000800 |
Provider Name | Anthony Di Ponio |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1003443763 PECOS PAC ID: 1557783305 Enrollment ID: I20250428001895 |
Mailing Address | Practice Location Address |
---|---|
Ent Care Of Michigan Plc 5220 Highland Rd Ste 230, Waterford, MI 48327-1973 Ph: (248) 254-8900 | Ent Care Of Michigan Plc 5220 Highland Rd Ste 230, Waterford, MI 48327-1973 Ph: (248) 254-8900 |