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Organization

UNIVERSITY OTOLARYNGOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH P LEE (CHIEF ADMINISTRATIVE OFFICER)
(313) 577-8112
Entity
Organization

Contact information

Practice address
27177 LAHSER RD, SUITE 203, SOUTHFIELD, MI 48034-4714
(248) 357-4151
Mailing address
3800 WOODWARD AVE, SUITE 600, DETROIT, MI 48201-2061

Taxonomy

Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary

Other

Enumeration date
07/15/2008
Last updated
07/15/2008
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