Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grand Rapids Ear Nose & Throat Center PLLC

Organization Otolaryngology Physician · NPI 1124052337

Grand Rapids Ear Nose & Throat Center PLLC is an Otolaryngology Physician in Grand Rapids, Michigan. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

655 Kenmoor Ave SE Ste A
Grand Rapids, MI 49546-8622
Phone: (616) 575-1212
Fax: (616) 575-1219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1124052337
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Kosta — President · (616) 575-1212
Other names Ear, Nose And Throat Center, P.C.
NPI enumeratedJuly 11, 2006
Last updated in NPPESJuly 21, 2008
Mailing address655 Kenmoor Ave Se, Suite A, Grand Rapids, MI 49546-8622

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