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

Great Lakes Ear Nose & Throat Specialists PC

Organization Otolaryngology Physician · NPI 1184123150

Great Lakes Ear Nose & Throat Specialists PC is an Otolaryngology Physician in Petoskey, Michigan. Works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1114 Charlevoix Ave
Petoskey, MI 49770-9701
Phone: (231) 489-8151
Fax: (231) 668-7794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 101 Oxbow Dr, Alpena, MI 49707-1448 — (231) 489-8151
  • 829 N Center Ave Ste 160, Gaylord, MI 49735-1598 — (231) 489-8151

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 5101013761 (MI)

Record details

NPI number1184123150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Gietzen — Doctor · (231) 838-1571
NPI enumeratedFebruary 6, 2018
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing address1114 Charlevoix Ave, Petoskey, MI 49770-9701

Other providers in Petoskey