Unknown Individual – Otolaryngology Physician, NPI 1164527941
Otolaryngology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
North Main Street, Clarkston, Cache County, Utah, 84305, United States
SUITE 108
CLARKSTON, MI 483461575
Phone: (248) 625-8450
Fax: (248) 625-4399
Type: Location
Woodward Avenue, Pontiac, Oakland County, Michigan, 48342, United States
SUITE 201
PONTIAC, MI 48341
Phone: (248) 334-9490
Fax: (248) 636-1170
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48346)
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