| NPI | 1386833259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL K THELEN, AU.D. Doctor Of Audiology/Owner 920-731-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: WI 165) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |