OrganizationActive
Sault Otolaryngology & Facial Plastic Surgery PC
NPI 1699028613 · Otolaryngology/Facial Plastic Surgery Physician · Sault Sainte Marie, MI
Provider details
- NPI number
- 1699028613
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Wallace, President(808) 937-7037
- License
- 5101015234 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
333 Magazine St
Ste 101
Sault Sainte Marie, MI 49783-1867
Phone: (906) 259-0244
Fax: (906) 259-0247
Approximate (ZIP-level) locationGet directions
Mailing address
333 Magazine St
Sault Sainte Marie, MI 49783-1867
Registry dates
- Enumerated
- 2012-10-16
- Last updated
- 2012-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.