Organization
MICHIGAN EAR NOSE AND THROAT ASSOCIATES PC
Active
Other names
MICHIGAN EAR NOSE AND THROAT, BASHAR SUCCAR, M.D., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM BAHU MD (OWNER)
(248) 334-9490
Entity
Organization
Contact information
Practice address
44200 WOODWARD AVE, SUITE 201, PONTIAC, MI 48341-5045
(248) 334-9490
(248) 636-1170
Mailing address
44200 WOODWARD AVE, SUITE 201, PONTIAC, MI 48341-5045
(248) 334-9490
(248) 636-1170
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4470874
—
MI
Enumeration date
05/30/2006
Last updated
12/18/2024
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