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

Northwoods Ear, Nose & Throat PC

Organization Facial Plastic Surgery Physician · NPI 1356394803

Northwoods Ear, Nose & Throat PC is a Facial Plastic Surgery Physician in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2611 Charlevoix Ave
Petoskey, MI 49770-8524
Phone: (231) 348-5900
Fax: (231) 348-5901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 5101015870 (MI)

Record details

NPI number1356394803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Slater — Owner · (231) 348-5900
NPI enumeratedMay 18, 2006
Last updated in NPPESMay 11, 2012
Mailing address2611 Charlevoix Ave, Petoskey, MI 49770-8524