| NPI | 1104878503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER SMITH Executive Director 231-737-0527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI KS761379) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MI SB013583) |
| 231H00000X Audiologist (Licence: MI KS001083) | |
| 231H00000X Audiologist (Licence: MI SB002162) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-06-24 |