Organization
UNIVERSITY OTOLARYNGOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON BRANKA (COORDINATOR)
(313) 745-1740
Entity
Organization
Contact information
Practice address
43494 WOODWARD AVE, SUITE 210, BLOOMFIELD TOWNSHIP, MI 48302-5052
(248) 335-9800
Mailing address
3800 WOODWARD AVE, SUITE 600, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H22557
BCBSM GROUP NUMBER
MI
Enumeration date
03/21/2007
Last updated
08/22/2020
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