Organization
SUPERIOR EAR, NOSE & THROAT SPECIALISTS. P.C.
Active
Other names
SUPERIOR ENT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J HEICHEL M.D. (PRESIDENT)
(906) 225-7660
Entity
Organization
Contact information
Practice address
712 CHIPPEWA SQ STE 130, MARQUETTE, MI 49855-4827
(906) 225-7660
(906) 225-7665
Mailing address
712 CHIPPEWA SQ STE 130, MARQUETTE, MI 49855-4827
(906) 225-7660
(906) 225-7665
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405210741
BLUE CROSS BLUE SHIELD
MI
05
—
4865320
—
MI
Enumeration date
01/10/2007
Last updated
12/22/2022
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