OrganizationActive
Michigan Pediatric Ent Associates, PLLC
NPI 1679631360 · Pediatric Otolaryngology Physician · West Bloomfield, MI
Provider details
- NPI number
- 1679631360
- Entity type
- Organization
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lynn Denhardt, Practice Manager(248) 847-3210
- License
- 4301026037 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
7001 Orchard Lake Rd
Suite 320c
West Bloomfield, MI 48322-3604
Phone: (248) 571-3600
Fax: (248) 973-8560
Approximate (ZIP-level) locationGet directions
Mailing address
7001 Orchard Lake Rd
West Bloomfield, MI 48322-3604
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2016-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.