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

University Otolaryngology

Organization Prosthodontics · NPI 1063537462

University Otolaryngology provides Prosthodontics in Detroit, Michigan. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

4201 Saint Antoine St Ste 5G
Detroit, MI 48201-2153
Phone: (313) 745-4656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X

Record details

NPI number1063537462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Branka — Coordinator · (313) 745-1740
NPI enumeratedMarch 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3800 Woodward Ave, Suite 600, Detroit, MI 48201-2061

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