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

Sault Otolaryngology & Facial Plastic Surgery PC

Organization Otolaryngology/Facial Plastic Surgery Physician · NPI 1699028613

Sault Otolaryngology & Facial Plastic Surgery PC is an Otolaryngology/Facial Plastic Surgery Physician in Sault Sainte Marie, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
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

333 Magazine St Ste 101
Sault Sainte Marie, MI 49783-1867
Phone: (906) 259-0244
Fax: (906) 259-0247
Show map & directions

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

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence 5101015234 (MI)

Record details

NPI number1699028613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Wallace — President · (808) 937-7037
NPI enumeratedOctober 16, 2012
Last updated in NPPESOctober 16, 2012
Mailing address333 Magazine St, Ste 101, Sault Sainte Marie, MI 49783-1867