Healthcare Provider Details

I. General information

NPI: 1225268766
Provider Name (Legal Business Name): MICHIGAN EAR CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 05/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27301 SCHOENHERR 105
WARREN MI
48088
US

IV. Provider business mailing address

PO BOX 252002
WEST BLOOMFIELD MI
48325
US

V. Phone/Fax

Practice location:
  • Phone: 586-756-4009
  • Fax: 586-756-3855
Mailing address:
  • Phone: 586-756-4009
  • Fax: 586-756-3855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberJA11394
License Number StateMI

VIII. Authorized Official

Name: JAMES ARONOVITZ
Title or Position: PRESIDENT
Credential: DO
Phone: 586-756-4009