# EAR, NOSE & THROAT INSTITUTE OF MICHIGAN, PLLC

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

## Provider details

- **NPI number:** 1134378730
- **Authorized official:** MARK UZANSKY D.O. (OWNER)
- **Authorized official phone:** (734) 953-0990

## Contact information

- **Practice address:** 14555 LEVAN RD, SUITE 206, LIVONIA, MI 48154-5083
- **Practice address phone:** (734) 953-0990
- **Practice address fax:** (734) 953-0996
- **Mailing address:** 14555 LEVAN RD, SUITE 206, LIVONIA, MI 48154-5083
- **Mailing address phone:** (734) 953-0990
- **Mailing address fax:** (734) 953-0996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YP0228X | Pediatric Otolaryngology Physician | MU012523 | MI | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | MU012523 | MI | Yes |

## Other

- **Enumeration date:** 09/18/2008
- **Last updated:** 01/10/2013