Lakeshore Ear Nose and Throat Center PC

NPI #1033202023 in Saint Clair Shores, Michigan

Provider Information

NPI Number: 1033202023
Entity Type: Organization
Organization Name: Lakeshore Ear Nose and Throat Center PC
Primary Specialty: Otolaryngology
Enumeration Date: Oct 2, 2006
Last Updated: Oct 12, 2007

Practice Location

Address: 21000 E 12 MILE RD
Address 2: SUITE 111
City: Saint Clair Shores
State: Michigan
ZIP Code: 48081-1116
Phone: (586) 779-7610

Authorized Official

Name: DR. DANIEL DJ MEGLER, MD
Title: PRESIDENT CHIEF EXECUTIVE OFFICE
Phone: (586) 779-7610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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