| NPI | 1194053751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN B. RYAN Doctor Of Audiology 262-241-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: WI 41-156) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |