Organization
DOWNRIVER ENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LASCELLES PINNOCK M.D. (OTOLARYNGOLOGY)
(313) 381-5170
Entity
Organization
Contact information
Practice address
14575 SOUTHFIELD RD, ALLEN PARK, MI 48101-2640
(313) 381-5170
(313) 381-8790
Mailing address
14575 SOUTHFIELD RD, ALLEN PARK, MI 48101-2640
(313) 381-5170
(313) 381-8790
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
231H00000X
Audiologist
—
—
261Q00000X
Clinic/Center
Primary
LP042960
MI
Other
Enumeration date
01/04/2008
Last updated
11/17/2014
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