| 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 |