Organization
DEARBORN EAR NOSE AND THROAT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN AUSTIN FINK MD (PHYSICIAN)
(313) 582-8853
Entity
Organization
Contact information
Practice address
15212 MICHIGAN AVE, DEARBORN, MI 48126-3497
(313) 582-8853
(313) 582-6417
Mailing address
15212 MICHIGAN AVE, DEARBORN, MI 48126-3497
(313) 582-8853
(313) 582-6417
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301026530
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0821564
BCBS-MI
MI
05
—
1796837
—
MI
Enumeration date
04/28/2008
Last updated
06/12/2008
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