Organization
SUPERIOR EAR, NOSE & THROAT SPECIALISTS, PC
Active
Other names
SENTS
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN A HEICHEL (PRACTICE MANAGER)
(906) 225-7660
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, SUITE 130, MARQUETTE, MI 49855-2675
(906) 225-7660
(906) 225-7665
Mailing address
1414 W FAIR AVE, SUITE 130, MARQUETTE, MI 49855-2675
(906) 225-7660
(906) 225-7665
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
1601000071
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4865320
—
MI
01
—
OE21137
BCBS
MI
Enumeration date
10/29/2012
Last updated
10/29/2012
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