| NPI | 1134898505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KONOPACKI Finance, VP 616-486-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2022-08-17 |