LAKESHORE EAR NOSE AND THROAT CENTER PC
NPI 1194921692
Allergy & Immunology in Saint Clair Shores, MI

Q: What is Lakeshore Ear Nose And Throat Center PC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Active since June 22, 2007

21000 E 12 MILE RD, STE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7610 Get Directions Write a Review

NPPES record last updated: October 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lakeshore Ear Nose And Throat Center Pc NPPES

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

LAKESHORE EAR NOSE AND THROAT CENTER PC (NPI 1194921692) is a healthcare organization registered as an allergy & immunology in Saint Clair Shores, Michigan and active in the NPI registry since June 2007. The organization lists Daniel Dj Megler, President -chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1194921692

Entity TypeOrganization

Primary Taxonomy207K00000X

Legal Business NameLAKESHORE EAR NOSE AND THROAT CENTER PC

Location Address21000 E 12 MILE RD, STE 111Saint Clair Shores, MI 48081-1116

Mailing Address21000 E 12 Mile Rd, Ste 111Saint Clair Shores, MI 48081-1116 · (586) 779-7610

Phone(586) 779-7610

Organization SubpartNo

Authorized OfficialDaniel Dj MeglerPresident -chief Executive Officer · (586) 779-7610

Enumeration DateJune 22, 2007

Last NPPES UpdateOctober 12, 2007

✔ NPI 1194921692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Also ListedInternal MedicineTaxonomy 207R00000X

21000 E 12 MILE RD, Saint Clair Shores, MI 48081

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Other Identifiers 1

Other1108206701Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. DOUGLAS CARL KUBEK D.O.

Otolaryngology (Sleep Medicine)

21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

LAKESHORE EAR NOSE AND THROAT CENTER PC

Otolaryngology

21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

MARY E MARKOVICH

Audiologist-Hearing Aid Fitter

21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

DR. MICHAEL S FOZO MD

Otolaryngology (Plastic Surgery within the Head & Neck)

21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7610

ANN R MCREYNOLDS MD

Obstetrics & Gynecology

21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081

Macomb County (586) 447-5100

NATHAN S. WHITE MD

Obstetrics & Gynecology

21000 E 12 MILE RD
ST CLAIR SHORES, MI 48081

Macomb County (586) 447-5100

MRS. ELIZABETH THERESE PARUS CRNA

Nurse Anesthetist, Certified Registered

21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 447-5021

MAUREEN JANE STREETER AU. D.

Audiologist-Hearing Aid Fitter

21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 779-7601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeshore Ear Nose And Throat Center PC's NPI number?

The NPI number for Lakeshore Ear Nose And Throat Center PC is 1194921692. It was assigned to this organization in the NPPES registry on June 22, 2007.

Where is Lakeshore Ear Nose And Throat Center PC located?

Lakeshore Ear Nose And Throat Center PC is located at 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.

What is Lakeshore Ear Nose And Throat Center PC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

When was this NPI record last updated?

The NPPES record for Lakeshore Ear Nose And Throat Center PC was last updated on October 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.