Great Lakes Ear Nose & Throat Specialists PC

NPI #1184123150 in Petoskey, Michigan

Provider Information

NPI Number: 1184123150
Entity Type: Organization
Organization Name: Great Lakes Ear Nose & Throat Specialists PC
Primary Specialty: Otolaryngology
Enumeration Date: Feb 6, 2018
Last Updated: Sep 20, 2023

Practice Location

Address: 1114 CHARLEVOIX AVE
City: Petoskey
State: Michigan
ZIP Code: 49770-9701
Phone: (231) 489-8151

Authorized Official

Name: KEVIN L GIETZEN, DO
Title: DOCTOR
Phone: (231) 838-1571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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