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

Michigan Pediatric ENT Associates, PLLC

Organization Pediatric Otolaryngology Physician · NPI 1679631360

Michigan Pediatric ENT Associates, PLLC is a Pediatric Otolaryngology Physician in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
4
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

7001 Orchard Lake Rd Ste 320C
West Bloomfield, MI 48322-3604
Phone: (248) 571-3600
Fax: (248) 973-8560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X · Licence 4301085240 (MI)
Pediatric Otolaryngology Physician Taxonomy 207YP0228X · Licence 4301026037 (MI)
Pediatric Otolaryngology Physician Taxonomy 207YP0228X · Licence 5101010352 (MI)
Pediatric Otolaryngology Physician Taxonomy 207YP0228X · Licence 5101009481 (MI)

Record details

NPI number1679631360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynn Denhardt — Practice Manager · (248) 847-3210
NPI enumeratedDecember 5, 2006
Last updated in NPPESMay 18, 2016
Mailing address7001 Orchard Lake Rd, Suite 320c, West Bloomfield, MI 48322-3604

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