NPI 1255380077

William Beaumont Hospital

Organisation Otolaryngology Physician Royal Oak, MI

Practice location

Address: 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712
Phone: (248) 585-8271
Fax: (248) 585-8266
Mailing address: 26901 Beaumont Boulevard Compliance, Southfield, MI 48033-3849

Authorised official

Name: Lee Ann Odom
Title: President Shared Services
Phone: (947) 522-3326

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Michigan →

Registry record

NPI: 1255380077
Entity type: Organization
NPI issued: 9 May 2006
Record last updated: 1 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.