Individual
DR. JEFFREY MORRIS HOTALING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26400 W 12 MILE RD STE 111, SOUTHFIELD, MI 48034-1771
(248) 357-4151
(248) 357-0229
Mailing address
1560 E MAPLE RD, STE 400 - CREDENTIALING DEPT, TROY, MI 48083-1135
(248) 581-5973
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
303189
LA
207Y00000X
Otolaryngology Physician
Primary
4301113636
MI
207Y00000X
Otolaryngology Physician
MD454807
PA
Other
Enumeration date
04/13/2010
Last updated
03/17/2018
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