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Organization

EYE & ENT SPECIALISTS

Active
Other names
Creekside Hearing
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL S NOSANOV MD (OWNER)
(269) 945-3888
Entity
Organization

Contact information

Practice address
1761 W M 43 HWY, HASTINGS, MI 49058-8378
(269) 945-3888
(269) 945-2112
Mailing address
1761 W M 43 HWY, HASTINGS, MI 49058-8378
(269) 945-3888
(269) 945-2112

Taxonomy

Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
MN053930
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
805186836
MI
Enumeration date
05/25/2007
Last updated
06/24/2008
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