| NPI | 1114198157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY BAZELL WILSON Audiologist 248-544-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 3501002743) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MI 1601000293) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |