| NPI | 1568903185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI L BOGUE Owner/Audiologist 517-817-6017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech (Licence: MI 1601000599) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-05-25 |