NPI 1003910118

Kenneth Gwinn, MD

Practitioner Otolaryngology/Facial Plastic Surgery Physician Shelby Township, MI

Practice location

Address: 48681 Hayes Rd, Shelby Township, MI 48315-4403
Phone: (586) 799-1212
Fax: (586) 799-1210

Registered specialties

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence KG050974 (MI)

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Registry record

NPI: 1003910118
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Sep 2006
Record last updated: 22 Dec 2011

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.