SAULT OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC
NPI 1699028613
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Sault Sainte Marie, MI

Active since October 16, 2012
333 MAGAZINE ST, STE 101, SAULT SAINTE MARIE, MI 49783(906) 259-0244(906) 259-0247 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sault Otolaryngology & Facial Plastic Surgery Pc NPPES

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

SAULT OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC (NPI 1699028613) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Sault Sainte Marie, Michigan and active in the NPI registry since October 2012. The organization lists Mark A Wallace, President, as its authorized official.

NPPES Registry Identity

NPI1699028613
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameSAULT OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC
Location Address333 MAGAZINE ST, STE 101Sault Sainte Marie, MI 49783-1867
Mailing Address333 Magazine St, Ste 101Sault Sainte Marie, MI 49783-1867 · (906) 259-0244 · Fax (906) 259-0247
Fax(906) 259-0247
Organization SubpartNo
Authorized OfficialMark A WallacePresident · (808) 937-7037
Enumeration DateOctober 16, 2012
NPI 1699028613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License Licensed in MI · 5101015234
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
333 MAGAZINE ST, Sault Sainte Marie, MI 49783

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 10

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

Family Medicine
333 MAGAZINE ST, SUITE 102
SAULT SAINTE MARIE, MI 49783
Family Medicine
333 MAGAZINE ST, SUITE 102
SAULT SAINTE MARIE, MI 49783
Respite Care
333 MAGAZINE ST, STE 102
SAULT SAINTE MARIE, MI 49783
Family Medicine
333 MAGAZINE ST, SUITE 102
SAULT SAINTE MARIE, MI 49783
Respite Care
333 MAGAZINE ST, SUITE 102
SAULT SAINTE MARIE, MI 49783
Clinic/Center (Rural Health)
333 MAGAZINE ST
SAULT SAINTE MARIE, MI 49783
Audiologist
333 MAGAZINE ST, SUITE #3
SAULT SAINTE MARIE, MI 49783
Durable Medical Equipment & Medical Supplies
333 MAGAZINE ST, STE 103
SAULT SAINTE MARIE, MI 49783

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 Sault Otolaryngology & Facial Plastic Surgery PC's NPI number?

The NPI number for Sault Otolaryngology & Facial Plastic Surgery PC is 1699028613. It was assigned to this organization in the NPPES registry on October 16, 2012.

Where is Sault Otolaryngology & Facial Plastic Surgery PC located?

Sault Otolaryngology & Facial Plastic Surgery PC is located at 333 Magazine St Ste 101, Sault Sainte Marie, MI 49783. The listed phone number is (906) 259-0244.

What is Sault Otolaryngology & Facial Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

When was this NPI record last updated?

The NPPES record for Sault Otolaryngology & Facial Plastic Surgery PC was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.