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Organization
GENESEE ENT ASSOCIATES PC
Active
Organization
GENESEE ENT ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED M SHUKAIRY MD (OWNER)
(810) 742-0225
Entity
Organization
Contact information
Practice address
1501 S CENTER RD, BLDG B, BURTON, MI 48509-1731
(810) 742-0225
(810) 742-7990
Mailing address
1501 S CENTER RD, BLDG B, BURTON, MI 48509-1731
(810) 742-0225
(810) 742-7990
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301085139
MI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
4301037118
MI
237600000X
Audiologist-Hearing Aid Fitter
1601000320
MI
Other
Enumeration date
11/05/2009
Last updated
02/16/2011
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