Organization
ENT SURGICAL ASSOC PC
Active
Organization
ENT SURGICAL ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN L BRANDES DO (CEO PRESIDENT)
(248) 541-0100
Entity
Organization
Contact information
Practice address
27483 DEQUINDRE RD STE 201, MADISON HEIGHTS, MI 48071-5711
(248) 541-0100
(248) 399-3960
Mailing address
27483 DEQUINDRE RD STE 201, MADISON HEIGHTS, MI 48071-5711
(248) 541-0100
(248) 399-3960
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040F31200
BCBS MI
MI
Enumeration date
06/19/2006
Last updated
09/21/2011
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