MARY DISSELKOEN

GRAND RAPIDS, MI
NPI1457596090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: MI  1601000230)
Additional Taxonomies231HA2400X Audiologist, Assistive Technology Practitioner
(Licence: MI  1601000230)
237600000X Audiologist-Hearing Aid Fitter
(Licence: MI  1601000230)
Enumeration Date2008-12-11
Last Update Date2008-12-11
Business Address
Mrs. MARY DISSELKOEN
1353 VAN AUKEN ST SE
GRAND RAPIDS, MI 49508-2516
Phone number: 616-819-2685
Mailing Address
Mrs. MARY DISSELKOEN
1353 VAN AUKEN ST SE
GRAND RAPIDS, MI 49508-2516
Phone number: 616-819-2685