| NPI | 1558531640 |
|---|---|
| Other Name | AUDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | DAVID JAHN President/CEO 906-635-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000402) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |