# ENT SURGICAL ASSOC PC

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

## Provider details

- **NPI number:** 1225073687
- **Authorized official:** DR. WARREN L BRANDES DO (CEO PRESIDENT)
- **Authorized official phone:** (248) 541-0100

## Contact information

- **Practice address:** 27483 DEQUINDRE RD STE 201, MADISON HEIGHTS, MI 48071-5711
- **Practice address phone:** (248) 541-0100
- **Practice address fax:** (248) 399-3960
- **Mailing address:** 27483 DEQUINDRE RD STE 201, MADISON HEIGHTS, MI 48071-5711
- **Mailing address phone:** (248) 541-0100
- **Mailing address fax:** (248) 399-3960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0602X | Otolaryngic Allergy Physician | — | NULL | — |
| 207YX0602X | Otolaryngic Allergy Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | — | NULL | — |
| 237600000X | Audiologist-Hearing Aid Fitter | — | — | — |
| 237700000X | Hearing Instrument Specialist | — | NULL | — |
| 237700000X | Hearing Instrument Specialist | — | — | — |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 09/21/2011