Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwoods Ear, Nose & Throat PC

Organization Facial Plastic Surgery Physician · NPI 1356394803

Northwoods Ear, Nose & Throat PC provides Facial Plastic Surgery Physician services in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2611 Charlevoix Ave
Petoskey, MI 49770-8524 Not confirmed with CMS for 14 years — call before visiting
Phone: (231) 348-5900
Fax: (231) 348-5901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 5101015870 (MI)

Record details

NPI number1356394803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Slater — Owner · (231) 348-5900
NPI enumeratedMay 18, 2006
Last updated in NPPESMay 11, 2012
Mailing address2611 Charlevoix Ave, Petoskey, MI 49770-8524