Organization
LAKESHORE EAR NOSE AND THROAT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DJ MEGLER MD (PRESIDENT)
(586) 254-7200
Entity
Organization
Contact information
Practice address
11080 HALL RD, A, STERLING HEIGHTS, MI 48314-1511
(586) 254-7200
(586) 254-7201
Mailing address
11080 HALL RD, A, STERLING HEIGHTS, MI 48314-1511
(586) 254-7200
(586) 254-7201
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0225988007
CIGNA
MI
01
—
103348
CARE CHOICES
MI
01
—
111857
CARE CHOICES
MI
05
—
1124737
—
MI
05
—
1203527
—
MI
01
—
131306
CARE CHOICES
MI
01
—
131309
CARE CHOICES
MI
01
—
2355682001
CIGNA
MI
01
—
2370886005
CIGNA
MI
01
—
2401315001
CIGNA
MI
01
—
2416918002
CIGNA
MI
05
—
3044902
—
MI
05
—
4103187
—
MI
05
—
4103196
—
MI
01
—
4218043
AETNA
MI
01
—
43331258
AETNA
MI
01
—
4351803
AETNA
MI
01
—
4408911
AETNA
MI
01
—
5791268
AETNA
MI
Enumeration date
02/22/2008
Last updated
02/22/2008
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