GREAT LAKES EAR NOSE & THROAT SPECIALISTS PC
NPI 1184123150
Otolaryngology in Petoskey, MI

Q: What is Great Lakes Ear Nose & Throat Specialists PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since February 06, 2018

1114 CHARLEVOIX AVE, PETOSKEY, MI 49770(231) 489-8151(231) 668-7794 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2022, Mar 10, 2022 (2 updates tracked since 2022).

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About Great Lakes Ear Nose & Throat Specialists Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES EAR NOSE & THROAT SPECIALISTS PC (NPI 1184123150) is a healthcare organization registered as an otolaryngology in Petoskey, Michigan and active in the NPI registry since February 2018. The organization maintains 2 additional practice locations and lists Kevin L Gietzen, Doctor, as its authorized official.

NPPES Registry Identity

NPI1184123150

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameGREAT LAKES EAR NOSE & THROAT SPECIALISTS PC

Location Address1114 CHARLEVOIX AVEPetoskey, MI 49770-9701

Mailing Address1114 Charlevoix AvePetoskey, MI 49770-9701 · (231) 489-8151 · Fax (231) 668-7794

Phone(231) 489-8151

Fax(231) 668-7794

Organization SubpartNo

Authorized OfficialKevin L GietzenDoctor · (231) 838-1571

Enumeration DateFebruary 6, 2018

Last NPPES UpdateSeptember 20, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2023

✔ NPI 1184123150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in MI · 5101013761

Definition

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.

1114 CHARLEVOIX AVE, Petoskey, MI 49770

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Secondary Practice Locations 2

Location 1101 Oxbow DrAlpena, MI 49707-1448 · Phone (231) 489-8151 · Fax (231) 668-7794

Location 2829 N Center Ave Ste 160Gaylord, MI 49735-1598 · Phone (231) 489-8151 · Fax (231) 668-7794

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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