THOMAS W PFENNIG DO NPI 1063639870

NPI Information

  • NPI: 1063639870
  • Provider Name: THOMAS W PFENNIG DO
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Organization
  • Doing Business As: GRAND RAPIDS EAR NOSE AND THROAT PC
  • Address: 1555 - 44TH STREET SW
    WYOMING, MI
    ZIP 49509
  • Phone: (616) 249-8000

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NPI Details

THOMAS W PFENNIG DO is an otolaryngology in Wyoming, MI. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. THOMAS W PFENNIG DO NPI is 1063639870. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grand Rapids Ear Nose And Throat Pc.

The provider's business location address is:

1555 - 44TH STREET SW
WYOMING, MI
ZIP 49509
Phone: (616) 249-8000

The provider's authorized official is Thomas W Pfennig .
The authorized official title is Owner and has the following contact phone number (616) 249-8000.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 7/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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