# UNIVERSITY OTOLARYNGOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063537462
- **Authorized official:** SHARON BRANKA (COORDINATOR)
- **Authorized official phone:** (313) 745-1740

## Contact information

- **Practice address:** 4201 SAINT ANTOINE ST, SUITE 5G, DETROIT, MI 48201-2153
- **Practice address phone:** (313) 745-4656
- **Mailing address:** 3800 WOODWARD AVE, SUITE 600, DETROIT, MI 48201-2061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | Yes |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020
