Organization
NORTH OAKLAND EAR NOSE &THROAT CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL SHERMETARO D.O. (PRESIDENT)
(248) 620-3100
Entity
Organization
Contact information
Practice address
5701 BOW POINTE DR, SUITE 200, CLARKSTON, MI 48346-3198
(248) 620-3100
(248) 620-3019
Mailing address
5701 BOW POINTE DR, SUITE 200, CLARKSTON, MI 48346-3198
(248) 620-3100
(248) 620-3019
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040F374250
BLUE CROSS BLUE SHIELD
MI
05
—
1013026855
—
MI
Enumeration date
08/29/2006
Last updated
10/12/2022
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