Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LAKESHORE EAR NOSE AND THROAT CENTER PC
Active
Organization
LAKESHORE EAR NOSE AND THROAT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DJ MEGLER MD (PRESIDENT -CHIEF EXECUTIVE OFFICER)
(586) 779-7610
Entity
Organization
Contact information
Practice address
21000 E 12 MILE RD, STE 111, SAINT CLAIR SHORES, MI 48081-1116
(586) 779-7610
Mailing address
21000 E 12 MILE RD, STE 111, SAINT CLAIR SHORES, MI 48081-1116
(586) 779-7610
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108206701
BLUE SHIELD
—
Enumeration date
06/22/2007
Last updated
10/12/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up