Organization
EAR, NOSE & THROAT INSTITUTE OF MICHIGAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK UZANSKY D.O. (OWNER)
(734) 953-0990
Entity
Organization
Contact information
Practice address
14555 LEVAN RD, SUITE 206, LIVONIA, MI 48154-5083
(734) 953-0990
(734) 953-0996
Mailing address
14555 LEVAN RD, SUITE 206, LIVONIA, MI 48154-5083
(734) 953-0990
(734) 953-0996
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
MU012523
MI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MU012523
MI
Other
Enumeration date
09/18/2008
Last updated
01/10/2013
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