OrganizationActive
Comprehensive Ear, Nose and Throat PC
NPI 1619009008 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1619009008
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Harold Hollander, President(616) 942-0380
- License
- JE013840 (MI)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense HH010730 (MI)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1179 E Paris Ave Se
Suite 102
Grand Rapids, MI 49546-8371
Phone: (616) 942-0380
Approximate (ZIP-level) locationGet directions
Mailing address
1179 E Paris Ave Se
Grand Rapids, MI 49546-8371
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2008-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.