Healthcare Provider Details

I. General information

NPI: 1831145523
Provider Name (Legal Business Name): VALLEY ENT ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 05/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2551 MCLEOD DR S
SAGINAW MI
48604-2827
US

IV. Provider business mailing address

2551 MCLEOD DR S
SAGINAW MI
48604-2827
US

V. Phone/Fax

Practice location:
  • Phone: 989-799-8620
  • Fax: 989-799-2664
Mailing address:
  • Phone: 989-799-8620
  • Fax: 989-799-2664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KEITH E. SCHARF
Title or Position: PRESIDENT
Credential: M.D.
Phone: 989-799-8620