Organization
EAR NOSE THROAT AND PLASTIC SURGERY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN C RESCHAK DO (DIRECTOR)
(810) 694-0600
Entity
Organization
Contact information
Practice address
3455 REGENCY PARK DR, GRAND BLANC, MI 48439-2559
(810) 694-0600
(810) 694-0601
Mailing address
3455 REGENCY PARK DR, GRAND BLANC, MI 48439-2559
(810) 694-0600
(810) 694-0601
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
SM007572
MI
207Y00000X
Otolaryngology Physician
SR014325
MI
207Y00000X
Otolaryngology Physician
Primary
WR010496
MI
207Y00000X
Otolaryngology Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
231H00000X
Audiologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040B515740
BCBSM
MI
Enumeration date
11/20/2007
Last updated
10/07/2020
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