| NPI | 1013183656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ALAN BYLSMA President/Doctor Of Audiology 616-977-0379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI 3501002046) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2008-05-04 |