Organization
FAMILY EAR NOSE THROAT & ALLERGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH B GILETTO MD (OWNER)
(616) 784-6130
Entity
Organization
Contact information
Practice address
961 4 MILE RD NW, SUITE A, GRAND RAPIDS, MI 49544-1502
(616) 784-6130
(616) 784-6140
Mailing address
961 4 MILE RD NW, GRAND RAPIDS, MI 49544-1502
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301071148
MI
Other
Enumeration date
02/09/2007
Last updated
06/20/2008
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