Healthcare Provider Details
I. General information
NPI: 1851367932
Provider Name (Legal Business Name): ENT PHYSICIANS,P.C
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11080 HALL RD
STERLING HTS MI
48314-1511
US
IV. Provider business mailing address
11080 HALL RD
STERLING HTS MI
48314-1511
US
V. Phone/Fax
- Phone: 586-254-7200
- Fax: 586-254-7201
- Phone: 586-254-7200
- Fax: 586-254-7201
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GERALD
SHERMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 586-254-7200