# OAKLAND ENT PLC

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

## Provider details

- **NPI number:** 1104334630
- **Authorized official:** MARY MELISSA MCBRIEN MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (248) 855-7530

## Contact information

- **Practice address:** 6900 ORCHARD LAKE RD STE 314, WEST BLOOMFIELD, MI 48322-3457
- **Practice address phone:** (248) 855-7530
- **Practice address fax:** (248) 855-5639
- **Mailing address:** 6900 ORCHARD LAKE RD STE 314, WEST BLOOMFIELD, MI 48322-3457
- **Mailing address phone:** (248) 855-7530
- **Mailing address fax:** (248) 855-5639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2018
- **Last updated:** 03/17/2018