GREAT LAKES HEALTHCARE SPECIALISTS LLC NPI 1467851139

NPI Information

GREAT LAKES HEALTHCARE SPECIALISTS LLC is an otolaryngology/facial plastic surgery otolaryngology in Highland, IN. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. GREAT LAKES HEALTHCARE SPECIALISTS LLC NPI is 1467851139. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Indiana Ear And Sinus Institute.

The provider's business location address is:

2211 MAIN ST STE 1A
HIGHLAND, IN
ZIP 46322-514
Phone: (219) 836-9368
Fax: (219) 836-9357

The provider's authorized official is Shridhar Ventrapragada .
The authorized official title is Owner and has the following contact phone number (219) 836-9368.

The enumeration date for this NPI number is 8/19/2014 and was last updated on 1/20/2022.

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:

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