| NPI | 1205159167 |
|---|---|
| Doing Business As | MIRACLE-EAR |
| Entity Type | Organization |
| Authorized Contact | GREGORY L WIMMER Pres 304-324-8358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: WV 801) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |